Individual
AMR ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 NORTHERN BLVD STE 104, GREENVALE, NY 11548-1220
(516) 846-8686
Mailing address
2200 NORTHERN BLVD STE 104, GREENVALE, NY 11548-1220
(516) 304-7234
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/08/2021
Last updated
08/08/2021
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