Individual
WAQAS ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3058 E TREMONT AVE, BRONX, NY 10461
(718) 764-3877
Mailing address
3058 E TREMONT AVE, BRONX, NY 10461-5726
(718) 764-3877
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
022709
NY
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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