Ali, Shaun Shazam

Ali, Shaun Shazam is an individual health care provider with primary practice located at 10120 Liberty Ave , Ozone Park NY 11417-1702. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Ali, Shaun Shazam can be contacted via phone (718) 480-6875.

Contact Information

Primary practice address
10120 Liberty Ave Ozone Park NY 11417-1702
Phone: (718) 480-6875
Fax: (718) 480-1267
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X B03211 New York

Profile Details

NPI number 1386296473
LBN Legal business name Ali, Shaun Shazam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2019
Last updated Jul 10th, 2019 - 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.

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