Individual
ANEESA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
101 NICOLLS RD, HSC LEVEL 4, 050, STONY BROOK, NY 11794
(631) 444-3880
Mailing address
101 NICOLLS RD, HSC LEVEL 4, 050, STONY BROOK, NY 11794
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
328952
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2021
Last updated
07/11/2025
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