Individual
JUDY ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69 DELAWARE AVE, BUFFALO, NY 14202-3812
(716) 852-5900
(716) 852-5913
Mailing address
308 PINE RIDGE RD, CHEEKTOWAGA, NY 14225-3919
(716) 892-2986
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
340281
NY
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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