Search › New York › 163W00000X
Dereck Ali
NPI 1750084448 · on the registry since 2023 · sole proprietor
Practice
- Address
- 12316 147th St
Jamaica, NY 11436 - Phone
- (917) 459-8300
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 163WE0003X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York