Individual
SHEZA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
888 OLD COUNTRY RD, PLAINVIEW, NY 11803-4914
(516) 719-3000
Mailing address
97 LOTUS OVAL N, VALLEY STREAM, NY 11581-2327
(516) 504-5905
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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