| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALI EZZATI | 1649617333 | 2023-02-11 |
Ali Ezzati [M] graduated in 2009 and primarily specializes in Neurology.
Ali Ezzati is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1649617333. Registration indicates Ali Ezzati is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Psychiatry & Neurology (Psychiatry & Neurology: Neurology, ) (Specialist Network, ) (Psychiatry & Neurology Neurology, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, )
| PECOS ID | 2860733417 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Ali Ezzati M.D. |
| Practice Office Address | 111 E 210TH ST BRONX, NY US |
| Practice Office Telephone | 7189205731 |
| Mailing Address | 32 BRAMPTON LN GREAT NECK, NY 110231325 US |
| Business Telephone | 8576362259 |
| Code | Practice | License No State |
|---|---|---|
| 2084N0400X PRIMARY | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Neurology Specialist Network Psychiatry & Neurology Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology | 288381
NY |
| 193200000X MULT | Group Code |