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Individual

ABID ALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1608 STILLWELL AVE, BROOKLYN, NY 11223-1028
(917) 808-5482
Mailing address
7322 BAY PKWY APT C3, BROOKLYN, NY 11204-6036
(917) 808-5482

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
104743-01
NY

Other

Enumeration date
08/03/2020
Last updated
08/04/2020
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