Basic Information
| Provider Information | |||||||||
| NPI: | 1245263409 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | ZAIDI | ||||||||
| FirstName: | ALI | ||||||||
| MiddleName: | N | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 760 BROADWAY DEPARTMENT OF MANAGED CARE ROOM 2B230 | ||||||||
| Address2: | WOODHULL MEDICAL & MENTAL HEALTH CENTER | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189638000 | ||||||||
| FaxNumber: | 7186303122 | ||||||||
| Practice Location | |||||||||
| Address1: | 76 BROADWAY | ||||||||
| Address2: | WOODHULL MEDICAL & MENTAL HEALTH CENTER | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189638000 | ||||||||
| FaxNumber: | 7187397413 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2006 | ||||||||
| LastUpdateDate: | 09/08/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 229868 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 113398271 | 01 | NY | MAGNACARE | OTHER | 113398271 ZA01 | 01 | NY | CARE PLUS | OTHER | 261369517 | 01 | NY | METROPLUS | OTHER | 7085600 | 01 | NY | AETNA | OTHER | 965197 | 01 | NY | FIRST HEALTH | OTHER | 261369517 | 01 | NY | HORIZON | OTHER | 0102033-02 | 01 | NY | AMERICHOICE | OTHER | 12029004 | 01 | NY | MULTIPLAN | OTHER | 2479357 | 01 | NY | CIGNA | OTHER | 2590176 | 01 | NY | GHI | OTHER | 3024182 | 01 | NY | OXFORD | OTHER | 6C1395 | 01 | NY | HEALTHNET | OTHER | 02491972 | 05 | NY | MEDICAID | 113398271 | 01 | NY | UNITED HEALTH CARE | OTHER | 113398271 | 01 | NY | HORIZON | OTHER | 184840 | 01 | NY | ELDERPLAN | OTHER | 261369517 | 01 | NY | GUARDIAN | OTHER | 261369517 | 01 | NY | UNITED HEALTHCARE | OTHER | 441AB1 | 01 | NY | EMPIRE BLUE CROSS | OTHER | A3581 | 01 | NY | 1199 BENEFIT FUND | OTHER | 0190841 | 01 | NY | GHI | OTHER | 1711174 | 01 | NY | AETNA | OTHER | 239827 | 01 | NY | WELLCARE | OTHER | ZA9868 | 01 | NY | ATLANTIS HEALTH PLAN | OTHER | 00020072040 | 01 | NY | HEALTHPLUS | OTHER | 22986801 | 01 | NY | NEIGHBORHOOD | OTHER | 305512 | 01 | NY | GALAXY | OTHER | 113398271 | 01 | NY | METRO PLUS | OTHER | 11339827101 | 01 | NY | TOUCHSTONE | OTHER | 229868 | 01 | NY | HEALTH FIRST | OTHER | 229868B27 | 01 | NY | HEALTHFIRST | OTHER | 229868P | 01 | NY | HEALTHCARES PARTNERS | OTHER | 261369517 | 01 | NY | MAGNACARE | OTHER | 182343 | 01 | NY | CHN | OTHER | 261369517 | 01 | NY | TOUCHSTONE | OTHER | 7054J1 | 01 | NY | EMPIRE BLUE CROSS BLUE SHIELD | OTHER |