NPI 1063876969 · live from the CMS NPI Registry
Khameinei Ali
Emergency Medicine in Sleepy Hollow, NY. National Provider Identifier 1063876969, active.
NPI record
| NPI | 1063876969 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 701 N Broadway, Sleepy Hollow, NY 10591 |
| Practice phone | 914-366-3590 |
| Enumerated | April 7, 2016 |
| Last updated | June 4, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Emergency Medicine primary | 207P00000X | 304891 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.