Healthcare Provider Details

I. General information

NPI: 1932046448
Provider Name (Legal Business Name): SAMRIN ALI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 48TH ST RM 1247
BROOKLYN NY
11219-2918
US

IV. Provider business mailing address

2559 85TH ST
EAST ELMHURST NY
11370-1608
US

V. Phone/Fax

Practice location:
  • Phone: 718-283-7911
  • Fax:
Mailing address:
  • Phone: 917-508-2422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: