Basic Information
Provider Information
NPI: 1235367277
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALI
FirstName: SALEEM
MiddleName: R
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 423 E 23RD ST
Address2:  
City: NEW YORK
State: NY
PostalCode: 100105011
CountryCode: US
TelephoneNumber: 3475851102
FaxNumber:  
Practice Location
Address1: 423 E 23RD ST
Address2:  
City: NEW YORK
State: NY
PostalCode: 100105011
CountryCode: US
TelephoneNumber: 2126867500
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/29/2009
LastUpdateDate: 03/02/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207R00000X267486NYN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X267486NYY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


Home