Nathalie Ibrahim, MDCM

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

License

P76591 Issued in NY

Practice address

504 E 89TH St
New York, NY 10128-7872

Phone

(514) 400-6033

NPI assigned

Jan 11, 2011

Last updated

Jan 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1508161209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E 89TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101287872",
            "telephone_number": "514-400-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E 89TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101287872",
            "telephone_number": "514-400-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "NATHALIE",
        "credential": "MDCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NY",
            "license": "P76591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Ibrahim
• Lena Ibrahim, PHARMD
• Mina Aziz Ibrahim, M.D.
• Mohammed Nurudeen Ibrahim, PHD
• Nadwa Ibrahim, MD
• Neven Ibrahim, RPH
• Nouran Ashraf Ibrahim, MD
• Rahma Ibrahim, MD
• Rowaa Ibrahim, MB BCH
• Ruann Ibrahim

• Body Imaging Physician in New York, NY
• Providers in New York, NY by specialty
• Body Imaging Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.