Provider Demographics
NPI:1851178768
Name:ALI, SYEDA EISHA II
Entity Type:Individual
Prefix:MISS
First Name:SYEDA
Middle Name:EISHA
Last Name:ALI
Suffix:II
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 IRVING AVE
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-1322
Mailing Address - Country:US
Mailing Address - Phone:516-590-8472
Mailing Address - Fax:
Practice Address - Street 1:146 IRVING AVE
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-1322
Practice Address - Country:US
Practice Address - Phone:516-590-8472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-13
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist