Healthcare Provider Details

I. General information

NPI: 1548175037
Provider Name (Legal Business Name): ALAA DAHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 MONTAUK HWY
WEST ISLIP NY
11795-4927
US

IV. Provider business mailing address

695 UNIONDALE AVE
UNIONDALE NY
11553-2930
US

V. Phone/Fax

Practice location:
  • Phone: 516-419-8878
  • Fax:
Mailing address:
  • Phone: 516-419-8878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberP140454
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: