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Individual

ALI IMRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
39 CLARKSON ST, NEW YORK, NY 10014-3605
(845) 270-2676
Mailing address
89 RHODES DR, NEW HYDE PARK, NY 11040-3527

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
306381
NY

Other

Enumeration date
05/11/2017
Last updated
09/11/2023
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