Doctor Name: | DINAH ALI |
NPI Number: | 1174965396 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | P82289 |
Business Practice Address: | 9160 193rd St Apt 3d Hollis, NY - 114233549 |
Business Phone Number: | 6464022589 |
Business Fax Number: | |
Mailing Address: | 9160 193rd St, Apt 3d HOLLIS |
State: | NY |
Postal Code: | 114233549 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/30/2013 |
NPI Last Update Date: | 07/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | P82289 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |