Individual
DR. MOHAMED AHMED ELDARDIRI ISMAIL ALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MB BCH MSC MRCS
Contact information
Practice address
550 HARRISON ST, SUITE D, SYRACUSE, NY 13202-3064
(315) 464-8224
(315) 464-2187
Mailing address
550 HARRISON ST, SUITE D, SYRACUSE, NY 13202-3064
(315) 464-8224
(315) 464-2187
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
326279
NY
208600000X
Surgery Physician
1801095237
TX
208600000X
Surgery Physician
326279
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
326279
NY
Other
Enumeration date
10/05/2015
Last updated
12/06/2023
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