SearchNew York103TC0700X

Robert Ibraham, JD, PHD, CASAC-M/G

NPI 1932683323 · on the registry since 2018

Practice

Address
220 Veterans Memorial Hwy
Hauppauge, NY 11788
Phone
(631) 406-5518
Clinicians at this address
3

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103TA0400X
101YA0400X
103TP2701X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York