Ali, Fareed Marlon

Ali, Fareed Marlon is an individual health care provider with primary practice located at 4422 3Rd Ave Mills Building 4Th Floor, Department Of Pediatrics, Bronx NY 10457-2545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ali, Fareed Marlon can be contacted via phone (718) 960-9331.

Contact Information

Primary practice address
4422 3Rd Ave Mills Building 4Th Floor, Department Of Pediatrics Bronx NY 10457-2545
Phone: (718) 960-9331
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 228348 New York

Profile Details

NPI number 1437210671
LBN Legal business name Ali, Fareed Marlon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Apr 13th, 2009 - about 15 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 1437210671 NPPES
New York MEDICAID 02444517

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