Provider Demographics
NPI:1598000481
Name:SHERBINY, ALI (LAC, MACOM)
Entity Type:Individual
Prefix:MR
First Name:ALI
Middle Name:
Last Name:SHERBINY
Suffix:
Gender:M
Credentials:LAC, MACOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2807 LORCOM LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-4943
Mailing Address - Country:US
Mailing Address - Phone:703-772-2271
Mailing Address - Fax:
Practice Address - Street 1:2807 LORCOM LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-4943
Practice Address - Country:US
Practice Address - Phone:703-772-2271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-03
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000685171100000X
MDU02008171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist