Individual provider · Type 1 NPI

Justin William David Ingram, MD

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1851146476 Active

Practice location

450 Clarkson Avenue, Department Of Urology
Brooklyn, NY 11203-2012

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1851146476

Justin William David Ingram, MD's National Provider Identifier is 1851146476, issued on Apr 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 18, 2024.