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NPI 1871363069

IndividualActive

Ibrahim Mubusam

NPI 1871363069 · Adult Companion · Brooklyn, NY

Provider details

NPI number: 1871363069
Entity type: Individual
Primary specialty: Adult CompanionNursing Service Related Providers
Sex: Male
Sole proprietor: No

Practice location

3029 Avenue V

Brooklyn, NY 11229-5448

Phone: (347) 254-6261

Fax: (347) 254-6445

More NY providers

Mailing address

614 Richmond Rd

Staten Island, NY 10304-2410

Registry dates

Enumerated: 2024-01-08
Last updated: 2024-01-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Ibrahim Mubusam — NPI 1871363069, Brooklyn, NY | NPI Central