Individual provider · Type 1 NPI
Shaun Shazam Ali
Driver · Ozone Park, NY
NPI number
1386296473
Active
Practice location
10120 Liberty Ave
Ozone Park, NY 11417-1702
Fax (718) 480-1267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | B03211 (NY) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
About NPI 1386296473
Shaun Shazam Ali's National Provider Identifier is 1386296473, issued on Jul 10, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Ozone Park, NY. The record was last updated on Jul 10, 2019.