Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | N006644 | NY |
NPI | 1063823631 |
---|---|
Provider Name | Dr. Sadi Alam |
First Address | Jamaica, NY 11432-2809 |
Second Address | Jamaica, NY 11432 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2014 |
Last Update Date | 05/03/2016 |