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

Sandy Ibrahim, PA

Individual provider Medical Physician Assistant · NPI 1568107910

Sandy Ibrahim, PA is a Medical Physician Assistant in Staten Island, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

475 Seaview Ave
Staten Island, NY 10305-3436
Phone: (718) 226-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 028548 (NY)

Record details

NPI number1568107910
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 30, 2022
Last updated in NPPESJuly 29, 2022
Certification dateJuly 29, 2022

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