Individual
WAQAS ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Mailing address
25 ORMOND ST, DIX HILLS, NY 11746-6331
(631) 220-8073
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
021756
NY
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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