Individual
SHAIK M. ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101-20 LEFFERTS BLVD., S. RICHMOND HILL, NY 11419
(718) 850-0707
(718) 850-9405
Mailing address
37 CLIFTON STREET, FARMINGDALE, NY 11735
(718) 850-0707
(718) 850-9405
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
192787
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01720061
—
NY
Enumeration date
07/10/2006
Last updated
12/19/2012
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