Ali, Dereck

Ali, Dereck is an sole proprietor health care provider with primary practice located at 12316 147Th St , Jamaica NY 11436-1628. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is his primary health care specialty. Ali, Dereck can be contacted via phone (917) 459-8300.

Contact Information

Primary practice address
12316 147Th St Jamaica NY 11436-1628
Phone: (917) 459-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 561703-01 New York
Nursing Service Providers / Registered Nurse 163W00000X 561703-01 New York

Profile Details

NPI number 1750084448
LBN Legal business name Ali, Dereck
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2023
Last updated Mar 23rd, 2023 - about last year

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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