Individual
ALI AHMED VAHIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 901-8654
Mailing address
6 JOSEPH CT, BROAD BROOK, CT 06016-9304
(347) 967-6849
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301100105
MI
Other
Enumeration date
01/29/2009
Last updated
05/13/2020
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