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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700318821

Dr. Kirolos Ibrahim, MD is a Student in an Organized Health Care Education/Training Program in Port Jefferson, New York. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

75 N Country Road Mather Hospital Gme
Port Jefferson, NY 11777
Phone: (631) 686-2549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 88070 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700318821
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2017
Last updated in NPPESApril 27, 2021
Certification dateFebruary 8, 2021

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