National Provider Identifier
Alex Ibrahim Fahoury, MD
Alex Ibrahim Fahoury, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Brockport, NY and a listed phone number of (585) 391-3040.
Profile Overview
- NPI
- 1467406934
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- May 20, 2006
- Last Updated
- September 17, 2024
Practice Location
- 122 West Ave Ste 6B
- Brockport, NY 14420-1225
Phone: (585) 391-3040
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1467406934
- Entity Type
- Individual
- Last Name
- Fahoury
- First Name
- Alex
- Middle Name
- Ibrahim
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 122 West Ave Ste 6B
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1225
- Mailing Country
- US
- Mailing Phone
- (585) 391-3040
- Mailing Fax
- (585) 625-0070
- Practice Street Address
- 122 West Ave Ste 6B
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1225
- Practice Country
- US
- Practice Phone
- (585) 391-3040
- Practice Fax
- (585) 625-0070
- Enumeration Date
- May 20, 2006
- Last Updated
- September 17, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 17, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)