Individual
BASHARAT ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3850 SAUNDERS SETTLEMENT RD, SANBORN, NY 14132-9128
(716) 898-2800
(716) 898-2805
Mailing address
3085 HARLEM RD, SUITE 350, CHEEKTOWAGA, NY 14225-2591
(716) 844-5600
(716) 844-5750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
204468
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000525098006
BCBS
NY
05
—
02010979
—
NY
01
—
2510925
IH
NY
Enumeration date
11/20/2006
Last updated
08/29/2012
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