Ibrahim, Intisar

Ibrahim, Intisar is an sole proprietor health care provider with primary practice located at 318 21St Ave Ste 103 , Paterson NJ 07501-3538. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ibrahim, Intisar can be contacted via phone (201) 233-2999.

Contact Information

Primary practice address
318 21St Ave Ste 103 Paterson NJ 07501-3538
Phone: (201) 233-2999
Fax: (334) 373-4231
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00467900 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00467900 New Jersey

Profile Details

NPI number 1912335191
LBN Legal business name Ibrahim, Intisar
Credentials DNP, FNP, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2013
Last updated Nov 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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