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1083269120
ALI N/A IMRAN
MANHASSET, NY
NPI
1083269120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-08-06
Last Update Date
2019-08-06
Business Address
ALI N/A IMRAN
300 COMMUNITY DR
MANHASSET, NY 11030-3876
Phone number: 516-562-0100
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Mailing Address
ALI N/A IMRAN
38 MAYFIELD LN
VALLEY STREAM, NY 11581-1618
Phone number: 516-472-1404
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