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Individual

DR. MOHAMED AHMED ELDARDIRI ISMAIL ALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MB BCH MSC MRCS

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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