Provider Demographics
NPI:1144316639
Name:ALI, SYED M (MD)
Entity type:Individual
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First Name:SYED
Middle Name:M
Last Name:ALI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:450 WEST 33RD STREET
Mailing Address - Street 2:PBS 12TH FLOOR
Mailing Address - City:NEWYORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001
Mailing Address - Country:US
Mailing Address - Phone:212-356-4474
Mailing Address - Fax:212-356-4608
Practice Address - Street 1:355 BARD AVE
Practice Address - Street 2:PSYCHIATRY
Practice Address - City:SSTATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310
Practice Address - Country:US
Practice Address - Phone:718-818-5698
Practice Address - Fax:718-876-2263
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY2087732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
G79919Medicare UPIN