Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 304955 | NY |
NPI | 1003426222 |
---|---|
Provider Name | Hanan Ibrahim Sheikh Ibrahim |
First Address | Rochester, NY 14617-5504 |
Second Address | Rochester, NY 14621-3022 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2020 |
Last Update Date | 03/08/2020 |