Provider Demographics
NPI:1245263409
Name:ZAIDI, ALI N (MD)
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:N
Last Name:ZAIDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 BROADWAY DEPARTMENT OF MANAGED CARE ROOM 2B230
Mailing Address - Street 2:WOODHULL MEDICAL & MENTAL HEALTH CENTER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206
Mailing Address - Country:US
Mailing Address - Phone:718-963-8000
Mailing Address - Fax:718-630-3122
Practice Address - Street 1:76 BROADWAY
Practice Address - Street 2:WOODHULL MEDICAL & MENTAL HEALTH CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206
Practice Address - Country:US
Practice Address - Phone:718-963-8000
Practice Address - Fax:718-739-7413
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229868207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY113398271OtherMAGNACARE
NY113398271 ZA01OtherCARE PLUS
NY261369517OtherMETROPLUS
NY7085600OtherAETNA
NY965197OtherFIRST HEALTH
NY261369517OtherHORIZON
NY0102033-02OtherAMERICHOICE
NY12029004OtherMULTIPLAN
NY2479357OtherCIGNA
NY2590176OtherGHI
NY3024182OtherOXFORD
NY6C1395OtherHEALTHNET
NY02491972Medicaid
NY113398271OtherUNITED HEALTH CARE
NY113398271OtherHORIZON
NY184840OtherELDERPLAN
NY261369517OtherGUARDIAN
NY261369517OtherUNITED HEALTHCARE
NY441AB1OtherEMPIRE BLUE CROSS
NYA3581Other1199 BENEFIT FUND
NY0190841OtherGHI
NY1711174OtherAETNA
NY239827OtherWELLCARE
NYZA9868OtherATLANTIS HEALTH PLAN
NY00020072040OtherHEALTHPLUS
NY22986801OtherNEIGHBORHOOD
NY305512OtherGALAXY
NY113398271OtherMETRO PLUS
NY11339827101OtherTOUCHSTONE
NY229868OtherHEALTH FIRST
NY229868B27OtherHEALTHFIRST
NY229868POtherHEALTHCARES PARTNERS
NY261369517OtherMAGNACARE
NY182343OtherCHN
NY261369517OtherTOUCHSTONE
NY7054J1OtherEMPIRE BLUE CROSS BLUE SHIELD
NY441AB1OtherEMPIRE BLUE CROSS
NYH96648Medicare UPIN