Provider Demographics
NPI:1962439638
Name:ALI, FAYEZ A (MD)
Entity Type:Individual
Prefix:DR
First Name:FAYEZ
Middle Name:A
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6733 ALDERTON ST
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-5231
Mailing Address - Country:US
Mailing Address - Phone:718-897-7318
Mailing Address - Fax:
Practice Address - Street 1:3 BARKER AVE
Practice Address - Street 2:PARK AVENUE MEDICAL ASSOCIATES
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-1524
Practice Address - Country:US
Practice Address - Phone:914-949-1199
Practice Address - Fax:914-949-1245
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY196263207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine