Individual
ALI AHMADIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
875 OLD COUNTRY RD, PLAINVIEW, NY 11803-4942
(516) 931-5552
Mailing address
875 OLD COUNTRY RD, PLAINVIEW, NY 11803-4942
(516) 931-5552
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
254098
NY
207Y00000X
Otolaryngology Physician
Primary
254098
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03239012
—
NY
Enumeration date
05/23/2006
Last updated
03/30/2021
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