Dr Robert Michael Ibraham, PHD, CASAC-M is a
Psychologist - Clinical based in Huntington Station, New York. Dr Robert Michael Ibraham is licensed to practice in New York (license number P128122) and his current practice location is
2075 New York Ave, Huntington Station, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 351-7112.
NPI number for Dr Robert Michael Ibraham is 1932683323 and his current mailing address is 18 Trout St, Oakdale, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932683323.
Healthcare Provider's Profile
Full Name | Dr Robert Michael Ibraham |
---|
Gender | Male |
---|
Speciality | Psychologist - Clinical |
---|
Location | 2075 New York Ave, Huntington Station, New York |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932683323
- Provider Enumeration Date: 09/20/2018
- Last Update Date: 06/26/2024
Medical Identifiers
Medical identifiers for Dr Robert Michael Ibraham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932683323 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 34794 (New York) | Secondary |
103TA0400X | Psychologist - Addiction (substance Use Disorder) | P128122 (New York) | Secondary |
103TP2701X | Psychologist - Group Psychotherapy | P128122 (New York) | Secondary |
103TC0700X | Psychologist - Clinical | P128122 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert Michael Ibraham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Robert Michael Ibraham, PHD, CASAC-M 18 Trout St, Oakdale, NY 11769-1529 Ph: (631) 589-9500 | Dr Robert Michael Ibraham, PHD, CASAC-M 2075 New York Ave, Huntington Station, NY 11746-3238 Ph: (631) 351-7112 |
Reviews and Comments