Individual
DR. ALI ABOUFARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 E 57TH ST, SUITE 1240, NEW YORK, NY 10022-2049
(212) 319-3977
(212) 319-4263
Mailing address
115 E 57TH ST, SUITE 1240, NEW YORK, NY 10022-2049
(212) 319-3977
(212) 319-4263
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
244925
NY
207RI0011X
Interventional Cardiology Physician
MD426289
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02673063
—
NY
05
—
1013506880001
—
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039823
MEDICARE GROUP
PA
01
—
P00234348
RAILROAD MEDICARE PIN
PA
Enumeration date
01/30/2006
Last updated
05/02/2016
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