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Individual

MR. DASSAN ALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SC.D, CCC-A

Contact information

Practice address
447 77TH ST, BROOKLYN, NY 11209-3205
(718) 745-2826
(718) 745-0040
Mailing address
447 77TH ST, BROOKLYN, NY 11209-3205
(718) 745-2826
(718) 745-0040

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002121
NY
237600000X
Audiologist-Hearing Aid Fitter
14000024556
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LICENSE
002121
NY
Enumeration date
11/07/2006
Last updated
06/06/2008
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