Individual provider · Type 1 NPI
Rustum Ibrahim
Mental Health Counselor · South Richmond Hill, NY
NPI number
1285503300
Active
Practice location
12013 107th Ave
South Richmond Hill, NY 11419-2809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 017010 (NY) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in South Richmond Hill
About NPI 1285503300
Rustum Ibrahim's National Provider Identifier is 1285503300, issued on Nov 5, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Richmond Hill, NY. The record was last updated on Nov 5, 2025.