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NPI Code Detail

MEDICARE: NASSER YEHIA ALI

MEDICARE:   NASSER YEHIA ALI
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
1225100000XPhysical Therapist014874
2225100000XPhysical Therapist014874NY

General Provider Information

NPI Number : 1033789441
Entity Type Code : Individual
Provider Name (Legal Business Name) : NASSER YEHIA ALI
Provider Business Mailing Address
First Line : 126 BEACH AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-2926
Country : US
Telephone Number : 708-966-7808
Fax Number :
Provider Business Practice Location Address
First Line : 126 BEACH AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-2926
Country : US
Telephone Number : 708-966-7808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2021
Last Update Date : 06/28/2021

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Directions to “ NASSER YEHIA ALI ” Practice Location

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