MEDICARE: AMIRAH ALI D.D.S.

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
1	1223G0001X	General Practice Dentistry	046226	NY

General Provider Information

NPI Number	:	1043361488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIRAH ALI D.D.S.

Provider Business Mailing Address
First Line	:	2060 E 19TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3943
Country	:	US
Telephone Number	:	718-336-3829
Fax Number	:	718-336-3858

Provider Business Practice Location Address
First Line	:	2060 E 19TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3943
Country	:	US
Telephone Number	:	718-336-3829
Fax Number	:	718-336-3858

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2007
Last Update Date	:	10/06/2025

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