Individual
ALI HEIDAR ALTAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 ALBIN AVE, WEST BABYLON, NY 11704-7401
(917) 688-5749
Mailing address
701 ALBIN AVE, WEST BABYLON, NY 11704-7401
(917) 688-5749
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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