Individual
DR. ALI MIRDAMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44 COLUMBIA PL, APARTMENT 5A, BROOKLYN, NY 11201-4553
(646) 575-0717
Mailing address
44 COLUMBIA PL, APARTMENT 5A, BROOKLYN, NY 11201-4553
(646) 575-0717
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/08/2012
Last updated
07/08/2012
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