Individual
AKHTAR ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11004 JAMAICA AVE, JAMAICA, NY 11418-2320
(718) 805-0594
Mailing address
PO BOX 170449, OZONE PARK, NY 11417-0449
(718) 805-0594
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
206663
NY
208VP0000X
Pain Medicine Physician
206663
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01817789
—
NY
Enumeration date
03/05/2007
Last updated
03/09/2016
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