Provider Demographics
NPI:1841419306
Name:PALI, ALEKSANDER (PA)
Entity Type:Individual
Prefix:
First Name:ALEKSANDER
Middle Name:
Last Name:PALI
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:ALEKSANDER
Other - Middle Name:SELIMI
Other - Last Name:PALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:789 WARING AVE #6K
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467
Mailing Address - Country:US
Mailing Address - Phone:718-798-2488
Mailing Address - Fax:
Practice Address - Street 1:SOUND SHORE MEDICAL CENTER
Practice Address - Street 2:16 GUION PLACE
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10802
Practice Address - Country:US
Practice Address - Phone:914-632-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008260363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant