Provider Demographics
NPI:1245265297
Name:SHERZOY, ALI A (MD)
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:A
Last Name:SHERZOY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1434 WILLIAMSBRIDGE RD FL 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2507
Mailing Address - Country:US
Mailing Address - Phone:718-618-0401
Mailing Address - Fax:347-479-1303
Practice Address - Street 1:2015 GRAND CONCOURSE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-4303
Practice Address - Country:US
Practice Address - Phone:718-583-7736
Practice Address - Fax:718-299-6797
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2022-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY186480207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG02484Medicare UPIN
NY41J522Medicare PIN