Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 289566 | NY |
N | 208600000X | Surgeon | 289566 | NY |
Y | 2086S0102X | Surgical Critical Care | 289566 | NY |
N | 2086S0127X | Trauma Surgeon | 289566-1 | NY |
NPI | 1134410376 |
---|---|
Provider Name | Dr. Hirra Ali |
First Address | Brooklyn, NY 11215 |
Second Address | Brooklyn, NY 11215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2011 |
Last Update Date | 21/09/2017 |