Healthcare Provider Details

I. General information

NPI: 1609670090
Provider Name (Legal Business Name): ALI JUNAYED NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3445 BAILEY AVE
BUFFALO NY
14215-1105
US

IV. Provider business mailing address

18711 WEXFORD TER
JAMAICA NY
11432-2452
US

V. Phone/Fax

Practice location:
  • Phone: 716-895-5000
  • Fax:
Mailing address:
  • Phone: 347-739-3757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number356461
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: