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RUSTUM IBRAHIM
NPI 1285503300
Counselor - Mental Health in South Richmond Hill, NY

Active since November 05, 2025
12013 107TH AVE, SOUTH RICHMOND HILL, NY 11419(917) 238-9147 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rustum Ibrahim NPPES

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

RUSTUM IBRAHIM (NPI 1285503300) is an individual mental health provider in South Richmond Hill, New York, licensed in New York (017010) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1285503300
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRUSTUM IBRAHIM
Location Address12013 107TH AVESouth Richmond Hill, NY 11419-2809
Mailing Address12013 107th AveSouth Richmond Hill, NY 11419-2809
Phone(917) 238-9147
Sole ProprietorYes
Enumeration DateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
✔ NPI 1285503300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 017010
12013 107TH AVE, South Richmond Hill, NY 11419
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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 Rustum Ibrahim's NPI number?

The NPI number for Rustum Ibrahim is 1285503300. It was assigned to this individual provider in the NPPES registry on November 5, 2025.

Where is Rustum Ibrahim located?

Rustum Ibrahim practices at 12013 107th Ave, South Richmond Hill, NY 11419. The listed phone number is (917) 238-9147.

What is Rustum Ibrahim's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Rustum Ibrahim was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.