Vaezi, Alec Ebraim

Vaezi, Alec Ebraim is an individual health care provider with primary practice located at 120 Mineola Blvd Ste 320 , Mineola NY 11501-4077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Vaezi, Alec Ebraim can be contacted via phone (516) 663-2436.

Contact Information

Primary practice address
120 Mineola Blvd Ste 320 Mineola NY 11501-4077
Phone: (516) 663-2436
Fax: (516) 663-2780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X A105098 California
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MT183380 Pennsylvania
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 301004 New York
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 253792 Massachusetts

Profile Details

NPI number 1154570679
LBN Legal business name Vaezi, Alec Ebraim
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2008
Last updated Apr 2nd, 2021 - about 3 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 1154570679 NPPES
New York MEDICAID 05858562
New York MEDICAID 110095099A

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