Provider Demographics
NPI:1063823631
Name:ALAM, SADI (DPM)
Entity Type:Individual
Prefix:DR
First Name:SADI
Middle Name:
Last Name:ALAM
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10 EMPIRE CT
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-6704
Mailing Address - Country:US
Mailing Address - Phone:917-412-8869
Mailing Address - Fax:
Practice Address - Street 1:16605 HIGHLAND AVE APT L1
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-2602
Practice Address - Country:US
Practice Address - Phone:347-509-4470
Practice Address - Fax:646-845-1861
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-16
Last Update Date:2023-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006644213ES0103X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery