National Provider Identifier

Omar S Alibrahim, MD

Omar S Alibrahim, MD is listed in the NPPES registry with a primary specialty of Pediatric Emergency Medicine (Pediatrics) Physician in Buffalo, NY and a listed phone number of (716) 878-7442.

NPI 1053324913Buffalo, NYPediatric Emergency Medicine (Pediatrics) Physician

Profile Overview

NPI
1053324913
Provider Type
Individual
Primary Specialty
Pediatric Emergency Medicine (Pediatrics) Physician
Enumeration Date
August 14, 2006
Last Updated
August 17, 2021

Practice Location

  • 219 Bryant Street
  • Buffalo, NY 14222-2006

Phone: (716) 878-7442

Mailing Address

  • 4511 Harlem Road
  • Suite 202
  • Amherst, NY 14226-3822

Specialties

  • Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X)
  • Pediatric Critical Care Medicine Physician (2080P0203X)
  • Pediatrics Physician (208000000X)
Full Record
NPI
1053324913
Entity Type
Individual
Last Name
Alibrahim
First Name
Omar
Middle Name
S
Credential
MD
Mailing Street Address
4511 Harlem Road
Mailing Address Line 2
Suite 202
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-3822
Mailing Country
US
Mailing Phone
(716) 839-6720
Mailing Fax
(716) 839-6740
Practice Street Address
219 Bryant Street
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14222-2006
Practice Country
US
Practice Phone
(716) 878-7442
Practice Fax
(716) 878-7101
Enumeration Date
August 14, 2006
Last Updated
August 17, 2021
Sex
Male
Sole Proprietor
No
Certification Date
August 17, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), Pediatric Critical Care Medicine Physician (2080P0203X), Pediatrics Physician (208000000X)
Other Identifiers
00027712401 (Univera), 02806462 (NY), 000930689002 (Bc/Bs), 061007000015 (Fidelis), 1213990 (Iha), 000930689001 (Bc/Bs)