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

Youssef Ibrahim

Individual provider Physical Therapy Assistant · NPI 1306783444

Youssef Ibrahim is a Physical Therapy Assistant in Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

374 Port Ave
Ronkonkoma, NY 11779-4815
Phone: (917) 517-6339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 015387 (NY)

Record details

NPI number1306783444
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 29, 2026
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address374 Port Ave, Ronkonkoma, NY 11779-4815

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