MEDICARE: M. H. ALY, MD, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician

General Provider Information

NPI Number	:	1720380025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M. H. ALY, MD, P.C.

Provider Business Mailing Address
First Line	:	1910 RICHMOND RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-2552
Country	:	US
Telephone Number	:	718-987-1420
Fax Number	:	718-987-1490

Provider Business Practice Location Address
First Line	:	1910 RICHMOND RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-2552
Country	:	US
Telephone Number	:	718-987-1420
Fax Number	:	718-987-1490

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MAHMOUD HASSAN ALY
Credential	:	MD
Telephone Number	:	718-987-1420

Provider Enumeration Date	:	11/19/2010
Last Update Date	:	11/19/2010

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