Ali, Khameinei
Ali, Khameinei is an individual health care provider with primary practice located at 701 N Broadway , Sleepy Hollow NY 10591-1020. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Ali, Khameinei can be contacted via phone (914) 366-3590.Contact Information
Primary practice address
701 N Broadway
Sleepy Hollow NY 10591-1020
Phone: (914) 366-3590
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 304891 | New York |
Profile Details
| NPI number | 1063876969 |
|---|---|
| LBN Legal business name | Ali, Khameinei |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2016 |
| Last updated | Jun 4th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063876969 | NPPES |
| New York | Other | 304891 | NYS MEDICAL BOARD |
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