Basic Information
| Provider Information | |||||||||
| NPI: | 1619124831 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | HOUJAIJ | ||||||||
| FirstName: | ALI | ||||||||
| MiddleName: | HASSAN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | ELM AND CARLTON ST | ||||||||
| Address2: | |||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142630001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168452300 | ||||||||
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| Practice Location | |||||||||
| Address1: | ROSWELL PARK CANCER INSTITUTE ELM AND ST | ||||||||
| Address2: | UROLOGY DEPT | ||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142630001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168452300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2008 | ||||||||
| LastUpdateDate: | 03/04/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086X0206X | P64756 | NY | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Oncology | 208800000X | P64756 | NY | Y | Allopathic & Osteopathic Physicians | Urology |
No ID Information.