Individual
MARIAM ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
241 NORTH RD, POUGHKEEPSIE, NY 12601-1154
(845) 483-5000
Mailing address
12 BRAY FARM LN, WAPPINGERS FALLS, NY 12590-6218
(347) 658-4723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
034103
NY
Other
Enumeration date
06/09/2025
Last updated
11/25/2025
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