Mahmoud Mohammed Elsayed Ali, | |
4422 3rd Ave, Bronx, NY 10457-2545 | |
(718) 960-6202 | |
Not Available |
Full Name | Mahmoud Mohammed Elsayed Ali |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 4422 3rd Ave, Bronx, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346864980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 324515 (New York) | Primary |
Entity Name | Sbh Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740595917 PECOS PAC ID: 3072798941 Enrollment ID: O20110420000217 |
Mailing Address | Practice Location Address |
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Mahmoud Mohammed Elsayed Ali, 4422 3rd Ave, Bronx, NY 10457-2545 Ph: () - | Mahmoud Mohammed Elsayed Ali, 4422 3rd Ave, Bronx, NY 10457-2545 Ph: (718) 960-6202 |
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