Individual
ALI N/A IMRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3876
(516) 562-0100
Mailing address
38 MAYFIELD LN, VALLEY STREAM, NY 11581-1618
(516) 472-1404
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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