Provider Demographics
NPI:1851546188
Name:ALI, FOZIA (PHARM D)
Entity Type:Individual
Prefix:
First Name:FOZIA
Middle Name:
Last Name:ALI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17201 46TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-3307
Mailing Address - Country:US
Mailing Address - Phone:718-358-4069
Mailing Address - Fax:718-358-4320
Practice Address - Street 1:17201 46TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-3307
Practice Address - Country:US
Practice Address - Phone:718-358-4069
Practice Address - Fax:718-358-4320
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051636183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY051636OtherNORK YORK STATE PHARMACIST REGISTRATION NUMBER