Individual
AYESHA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(516) 286-4363
Mailing address
214 BROOKVILLE RD, GLEN HEAD, NY 11545-3310
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
322583-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
01/15/2025
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