Individual
DR. AMIL ALIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMSC, MS, PA-C
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-3000
Mailing address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015257
NY
363AM0700X
Medical Physician Assistant
015257
NY
Other
Enumeration date
10/26/2011
Last updated
06/02/2023
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