Organization
BASHARAT ALI MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R CAMPANA (BILLER)
(716) 276-8812
Entity
Organization
Contact information
Practice address
3469 HARLEM RD, CHEEKTOWAGA, NY 14225-2001
(716) 836-0016
(716) 836-0017
Mailing address
32 EARLDOM WAY, GETZVILLE, NY 14068-1410
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
204468
NY
Other
Enumeration date
09/21/2016
Last updated
12/22/2016
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