# ABU ALI SINA MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AVICENNA HEALTH AND WELLNESS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841912789
- **Authorized official:** UMBRINE FATIMA MD (OWNER)
- **Authorized official phone:** (516) 519-0927

## Contact information

- **Practice address:** 9650 MAIN ST STE 1, CLARENCE, NY 14031-2004
- **Practice address phone:** (716) 407-3081
- **Practice address fax:** (716) 954-7117
- **Mailing address:** 9650 MAIN ST STE 1, CLARENCE, NY 14031-2004
- **Mailing address phone:** (716) 407-3081
- **Mailing address fax:** (716) 954-7117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2022
- **Last updated:** 09/16/2022