Most Relevant Information
Provider Data
| NPI Number: | 1003436783 |
| Provider Name: | ALI KASSEM M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/22/2020 |
| Last Updated: | 02/09/2022 |
Provider Practice Location
475 SEAVIEW UNIVERSITY, STATEN ISLAND, NEW YORK
STATEN ISLAND UNIVERSITY HOSPITAL, DEPARTMENT OF INTERN
STATEN ISLAND, NYC
NY
10305
Practice Location Phone/Fax
| Phone: | 7182268855 |
| Fax: |
Provider Mailing Location
475 SEAVIEW UNIVERSITY, STATEN ISLAND, NEW YORK
STATEN ISLAND UNIVERSITY HOSPITAL, DEPARTMENT OF INTERN
STATEN ISLAND, NYC
NY
10305
Provider Mailing Phone/Fax
| Phone: | 7182268855 |
| Fax: |