AMENAH IBRAHIM DO
NPI 1043913981
Student in an Organized Health Care Education/Training Program in Port Jefferson, NY

Active since March 22, 2023
75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 686-2549(631) 686-7651 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amenah Ibrahim Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMENAH IBRAHIM DO (NPI 1043913981) is an individual student in an organized health care education/training program in Port Jefferson, New York and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1043913981
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMENAH IBRAHIMCredential: DO
Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2190
Mailing Address75 N Country RdPort Jefferson, NY 11777-2190 · (631) 686-2549 · Fax (631) 686-7651
Fax(631) 686-7651
Sole ProprietorNo
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
NPI 1043913981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
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.
75 N COUNTRY RD, Port Jefferson, NY 11777

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Dermatology
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Physician Assistant
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Nurse Practitioner (Family)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amenah Ibrahim's NPI number?

The NPI number for Amenah Ibrahim is 1043913981. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Amenah Ibrahim located?

Amenah Ibrahim practices at 75 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 686-2549.

What is Amenah Ibrahim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Amenah Ibrahim was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.