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General NPI Number Information
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NPI Number | 1063823631
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Entity Type | Individual
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Provider Name | SADI ALAM DPM
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Gender | Male
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Dates
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Enumeration Date | 05/16/2014
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Last Update Date | 09/09/2023
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Provider Practice Location Address
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Address Line | 16605 HIGHLAND AVE APT L1
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City | JAMAICA
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State | NY
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Zip | 11432-2602
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Country | US
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Telephone | 347-509-4470
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Fax | 646-845-1861
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Provider Business Mailing Address
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Address Line | 10 EMPIRE CT
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City | DIX HILLS
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State | NY
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Zip | 11746-6704
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Country | US
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Telephone | 917-412-8869
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N006644
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License Number State | NY
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