Provider Demographics
NPI:1720380025
Name:M. H. ALY, MD, P.C.
Entity Type:Organization
Organization Name:M. H. ALY, MD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHMOUD
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:ALY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-987-1420
Mailing Address - Street 1:1910 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-2552
Mailing Address - Country:US
Mailing Address - Phone:718-987-1420
Mailing Address - Fax:718-987-1490
Practice Address - Street 1:1910 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-2552
Practice Address - Country:US
Practice Address - Phone:718-987-1420
Practice Address - Fax:718-987-1490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-19
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty