Individual
HAZEM ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
232 MERRICK RD, LYNBROOK, NY 11563-2623
(816) 456-2944
Mailing address
232 MERRICK RD, LYNBROOK, NY 11563-2623
(816) 456-2944
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
243188
NY
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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