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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376598805 | NPPES |
| New York | MEDICAID | 03239012 |
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