Individual
DR. ALI MENCIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3959 BROADWAY, COLUMBIA UNVERSITY DEPARTMENT PEDIATRIC, NEW YORK, NY 10032-1559
(212) 304-7250
(212) 544-1974
Mailing address
3959 BROADWAY, COLUMBIA UNVERSITY DEPARTMENT PEDIATRIC, NEW YORK, NY 10032-1559
(212) 304-7250
(212) 544-1974
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
219152
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105767
MEDICAID
NJ
05
—
02757266
—
NY
Enumeration date
05/19/2006
Last updated
07/08/2007
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