Memona Ali
Physician Assistant in Jamaica, NY. Individual provider (NPI-1).
NPI number1508552407
StatusActive
Last updated in NPPESApr 13, 2023
Details
- NPI
- 1508552407
- Entity type
- Individual (NPI-1)
- Name
- Memona Ali
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2023
- Certification date
- Apr 13, 2023
- Last updated
- Apr 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
9420 Guy R Brewer BlvdJamaica, NY 11451-0001
Phone 718-262-2000
Mailing address
215 Gotham AveElmont, NY 11003-1516
Phone 516-590-6223
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