| Ally Internal Medicine Pc | |
|
2011 Westchester Ave Bronx NY 10462-4507 | |
| (516) 615-5199 | |
| (516) 217-0772 |
| Full Name | Ally Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2011 Westchester Ave, Bronx, New York |
| Authorized Official Name and Position | Aleem Ali (OWNER) |
| Authorized Official Contact | 5167646464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ally Internal Medicine Pc 6918 32nd Ave Woodside NY 11377-2033 Ph: (516) 615-5199 | Ally Internal Medicine Pc 2011 Westchester Ave Bronx NY 10462-4507 Ph: (516) 615-5199 |
| NPI Number | 1932944618 |
|---|---|
| Provider Enumeration Date | 06/26/2024 |
| Last Update Date | 06/26/2024 |
| Medicare PECOS PAC ID | 7012453285 |
|---|---|
| Medicare Enrollment ID | O20240724000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932944618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Michelle R Lopez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740477892 PECOS PAC ID: 3274613542 Enrollment ID: I20071228000270 |
| Provider Name | Aleem Anthony Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497076129 PECOS PAC ID: 3971798315 Enrollment ID: I20101111000716 |
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