Individual
SAMUEL ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
77 GOODELL ST STE 340, BUFFALO, NY 14203-1243
(716) 645-9709
Mailing address
77 GOODELL ST STE 340, BUFFALO, NY 14203-1243
(716) 645-9709
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018688
NY
Other
Enumeration date
06/30/2015
Last updated
05/02/2023
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