Shaun Shazam Ali

NPI #1386296473 in Ozone Park, New York

Provider Information

NPI Number: 1386296473
Entity Type: Individual
Name: Shaun Shazam Ali
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jul 10, 2019
Last Updated: Jul 10, 2019

Practice Location

Address: 10120 LIBERTY AVE
City: Ozone Park
State: New York
ZIP Code: 11417-1702
Phone: (718) 480-6875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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