Individual provider · Type 1 NPI

Hassan Ibrahim, PMH NP

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

NPI number 1992415327 Active

Practice location

5611 30th Ave
Woodside, NY 11377-7956

Call (646) 761-9279 Map

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X404631 (NY)
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 1992415327

Hassan Ibrahim, PMH NP's National Provider Identifier is 1992415327, issued on Nov 28, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Woodside, NY. The record was last updated on Apr 9, 2025.