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Individual

DR. ALY SERGIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
333 86TH ST, SUITE#1B, BROOKLYN, NY 11209-5057
(718) 630-1010
(718) 630-1020
Mailing address
333 86TH ST, SUITE#1B, BROOKLYN, NY 11209-5057
(718) 630-1010
(718) 630-1020

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
145019
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
145019
NEW YORK STATE LICENSE
NY
Enumeration date
09/21/2012
Last updated
09/21/2012
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