Islam, Ali Mohammed Waliul
Islam, Ali Mohammed Waliul is an individual health care provider with primary practice located at 5 Grace Church St , Port Chester NY 10573-4911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Islam, Ali Mohammed Waliul can be contacted via phone (914) 937-8899.Contact Information
Primary practice address
5 Grace Church St
Port Chester NY 10573-4911
Phone: (914) 937-8899
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 253012 | New York |
Profile Details
| NPI number | 1235369463 |
|---|---|
| LBN Legal business name | Islam, Ali Mohammed Waliul |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2009 |
| Last updated | Oct 23rd, 2018 - about 6 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 | 1235369463 | NPPES |
| New York | MEDICAID | 03147037 |
Popular Providers
-
Siasoco, Anna Lizza Lopez
415 Port Washington Blvd , Port Washington NY 11050-4201 -
Jurasits, Erika M
170 N Country Rd Ste 2 , Port Jefferson NY 11777-2606 -
Mcmahon, Kerry R
2 North Rd , Chester NJ 07930-2318 -
Foxman, Patricia A
475 White Palins Rd Ste 27, East Chester NY 10709 -
Espana, Jorge Martin
5 Grace Church St , Port Chester NY 10573-4911 -
Lewis, Alison
530 Main St Ste 4A , Chester NJ 07930-2669 -
Rex, Scott L
6 Bernard St , Port Washington NY 11050-2902 -
Attardo, Ciro
1460 Route 17M , Chester NY 10918-1054