Individual
MR. ALI DIWANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS.ED
Contact information
Practice address
3333 BROADWAY, APT. A6K, NEW YORK, NY 10031-8726
(347) 512-2685
Mailing address
3333 BROADWAY, APT. A6K, NEW YORK, NY 10031-8726
(347) 512-2685
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
618992121
NY
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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