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NPI Code Detail

MEDICARE: DR. SHAZEEM ALLY PHARM D

MEDICARE: DR. SHAZEEM ALLY PHARM D
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
1183500000XPharmacist064262NY

General Provider Information

NPI Number : 1760030662
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAZEEM ALLY PHARM D
Provider Business Mailing Address
First Line : 8735 127TH ST
Second Line :
City : RICHMOND HILL
State : NY
Zip : 11418-2724
Country : US
Telephone Number : 646-496-6044
Fax Number :
Provider Business Practice Location Address
First Line : 150 50TH AVE
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-6050
Country : US
Telephone Number : 718-729-3179
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2019
Last Update Date : 09/04/2019

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Directions to “ DR. SHAZEEM ALLY PHARM D” Practice Location

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