NPI 1306783444

Youssef Ibrahim

Practitioner Physical Therapy Assistant Ronkonkoma, NY

Practice location

Address: 374 Port Ave, Ronkonkoma, NY 11779-4815
Phone: (917) 517-6339

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 015387 (NY)

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Registry record

NPI: 1306783444
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Apr 2026
Record last updated: 29 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.