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NPI Code Detail

MEDICARE: MS. REHANA ALI

MEDICARE: MS. REHANA 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
11041C0700XClinical Social Worker071024-1NY

General Provider Information

NPI Number : 1720502131
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REHANA ALI
Provider Business Mailing Address
First Line : 132 W 74TH ST APT 2A
Second Line :
City : NEW YORK
State : NY
Zip : 10023-2320
Country : US
Telephone Number : 212-595-0219
Fax Number :
Provider Business Practice Location Address
First Line : 936 BROADWAY 2ND FLOOR
Second Line : 2ND FLOOR
City : NEW YORK
State : NY
Zip : 10010-8104
Country : US
Telephone Number : 212-595-0219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2017
Last Update Date : 07/27/2017

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