Dr Sufdar Ali, DDS is a
Dentist based in Groton, New York. Dr Sufdar Ali is licensed to practice in New York (license number 0482251) and his current practice location is
119 W South St, Groton, New York. He can be reached at his office (for appointments etc.) via phone at
(607) 898-5006.
NPI number for Dr Sufdar Ali is 1306958087 and his current mailing address is 119 W South St, Groton, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306958087.
Healthcare Provider's Profile
| Full Name | Dr Sufdar Ali |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 119 W South St, Groton, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1306958087
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/18/2012
Medical Identifiers
Medical identifiers for Dr Sufdar Ali such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306958087 | NPI | - | NPPES |
| 02330261 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 0482251 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sufdar Ali is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Sufdar Ali, DDS
119 W South St,
Groton, NY 13073
Ph: (607) 898-5006 | Dr Sufdar Ali, DDS
119 W South St,
Groton, NY 13073
Ph: (607) 898-5006 |
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