Provider Demographics
NPI:1194721191
Name:ALI, SAYED SAJID (MD)
Entity type:Individual
Prefix:DR
First Name:SAYED
Middle Name:SAJID
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1129 NORTHERN BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3022
Mailing Address - Country:US
Mailing Address - Phone:516-365-5570
Mailing Address - Fax:516-365-5532
Practice Address - Street 1:1129 NORTHERN BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3022
Practice Address - Country:US
Practice Address - Phone:516-365-5570
Practice Address - Fax:516-365-5532
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2013-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY220725207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02396867Medicaid
NYH88233Medicare UPIN
NY02396867Medicaid