Individual
DR. HUMAIRA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 BROOKVILLE ROAD, GLEN HEAD, NY 11545
(516) 286-2565
Mailing address
214 BROOKVILLE RD, GLEN HEAD, NY 11545-3310
(516) 286-2565
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
312005
NY
Other
Enumeration date
03/29/2017
Last updated
04/01/2022
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