Shabazz, Glorious Ali

Shabazz, Glorious Ali is an individual health care provider with primary practice located at 300 E 29Th St , Paterson NJ 07514-1818. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Shabazz, Glorious Ali can be contacted via phone (973) 930-0044.

Contact Information

Primary practice address
300 E 29Th St Paterson NJ 07514-1818
Phone: (973) 930-0044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00280000 New Jersey

Profile Details

NPI number 1851922397
LBN Legal business name Shabazz, Glorious Ali
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2020
Last updated Feb 3rd, 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.

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