Ahmadizadeh, Ali

Ahmadizadeh, Ali is an sole proprietor health care provider with primary practice located at 875 Old Country Rd , Plainview NY 11803-4942. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Ahmadizadeh, Ali can be contacted via phone (516) 931-5552.

Contact Information

Primary practice address
875 Old Country Rd Plainview NY 11803-4942
Phone: (516) 931-5552
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 254098 New York
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 254098 New York

Profile Details

NPI number 1376598805
LBN Legal business name Ahmadizadeh, Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Mar 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376598805 NPPES
New York MEDICAID 03239012

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