IndividualActive
Ali Raza
NPI 1033788302 · General Practice Dentistry · Long Island City, NY
Provider details
- NPI number
- 1033788302
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 062744 (NY)
Specialties & taxonomies
Dental Providers
Practice location
5011 Vernon Blvd
Long Island City, NY 11101-6511
Phone: (989) 327-3822
Approximate (ZIP-level) locationGet directions
Mailing address
201 50th Ave Apt 25e
Long Island City, NY 11101-5782
Registry dates
- Enumerated
- 2021-06-22
- Last updated
- 2024-02-19
- Certified
- 2024-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.