Provider Demographics
NPI:1508876517
Name:ALI, ZAFER (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAFER
Middle Name:
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 DELANO DR
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-2610
Mailing Address - Country:US
Mailing Address - Phone:845-431-9180
Mailing Address - Fax:845-876-3039
Practice Address - Street 1:10 DELANO DR
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-2610
Practice Address - Country:US
Practice Address - Phone:845-431-9180
Practice Address - Fax:845-876-3039
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY107942174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00478937Medicaid
NY00478937Medicaid
NY658291Medicare ID - Type Unspecified