Individual
MAHMOUD HASSAN ALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1910 RICHMOND RD, STATEN ISLAND, NY 10306-2552
(718) 987-9777
(718) 987-9556
Mailing address
2 TRICORNE CT, HOLMDEL, NJ 07733-1250
(732) 796-9334
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
185995-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01644435
—
NY
Enumeration date
07/14/2006
Last updated
11/14/2019
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