Individual
MR. ALI SHAHAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
583 S 16TH ST, LINDENHURST, NY 11757-4459
(315) 664-5637
Mailing address
583 S 16TH ST, LINDENHURST, NY 11757-4459
(315) 664-5637
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
182287260
NY
172A00000X
Driver
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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