Provider Demographics
NPI:1063669935
Name:ALI, SALMAN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SALMAN
Middle Name:
Last Name:ALI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11434 SUTPHIN BLVD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-1021
Mailing Address - Country:US
Mailing Address - Phone:718-925-9259
Mailing Address - Fax:718-925-0004
Practice Address - Street 1:11434 SUTPHIN BLVD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-1021
Practice Address - Country:US
Practice Address - Phone:718-925-9259
Practice Address - Fax:718-925-0004
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-22
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052801183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist