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

Rustum Ibrahim

Individual provider Mental Health Counselor · NPI 1285503300

Rustum Ibrahim is a Mental Health Counselor in South Richmond Hill, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025
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Practice location Address checks out

12013 107th Ave
South Richmond Hill, NY 11419-2809
Phone: (917) 238-9147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 017010 (NY)

Record details

NPI number1285503300
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 5, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

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