MEDICARE: MUHAMMAD NASIR ALI MD

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	207R00000X	Internal Medicine Physician	NY 191321	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	395233	OTHER	NY	WELL CARE
2	040426008950	OTHER	NY	FIDELIS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346221264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD NASIR ALI MD

Provider Business Mailing Address
First Line	:	33 N OCEAN AVE
Second Line	:
City	:	FREEPORT
State	:	NY
Zip	:	11520-3049
Country	:	US
Telephone Number	:	516-378-4949
Fax Number	:	516-379-8026

Provider Business Practice Location Address
First Line	:	33 N OCEAN AVE
Second Line	:
City	:	FREEPORT
State	:	NY
Zip	:	11520-3049
Country	:	US
Telephone Number	:	516-378-4949
Fax Number	:	516-379-8026

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

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	05/16/2008

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