Provider Demographics
NPI:1285627844
Name:IBRAHIM, SHERIF (MD, PHD)
Entity type:Individual
Prefix:
First Name:SHERIF
Middle Name:
Last Name:IBRAHIM
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 WESTCHESTER AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WEST HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2907
Mailing Address - Country:US
Mailing Address - Phone:914-339-5000
Mailing Address - Fax:914-468-6172
Practice Address - Street 1:244 WESTCHESTER AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:WEST HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10604-2907
Practice Address - Country:US
Practice Address - Phone:914-339-5000
Practice Address - Fax:914-468-6172
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-29
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY224332207ZH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1285627844OtherNPI
1285627844OtherNPI