Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amenah Ibrahim, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043913981

Amenah Ibrahim, DO is a Student in an Organized Health Care Education/Training Program in Port Jefferson, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

75 N Country Rd
Port Jefferson, NY 11777-2190
Phone: (631) 686-2549
Fax: (631) 686-7651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1043913981
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 22, 2023
Last updated in NPPESMarch 22, 2023
Certification dateMarch 22, 2023

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