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Shaun Shazam Ali
Driver in Ozone Park, New York
NPI 1386296473

Shaun Shazam Ali is a Driver based in Ozone Park, NY. Shaun Shazam Ali practices in Ozone Park, NY. The NPI Number for Shaun Shazam Ali is 1386296473 and holds a License No. B03211 (New York).

The current practice location address for Shaun Shazam Ali is 10120 Liberty Ave, Ozone Park, NY and can be reached out via phone at 718-480-6875 and via fax at 718-480-1267.

Location: 10120 Liberty Ave, Ozone Park, NY, 11417-1702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386296473
Provider Name
Shaun Shazam Ali
Credential
Provider Entity Type
Individual
Gender
Male
Address
10120 Liberty Ave, Ozone Park, NY, 11417-1702
Phone Number
718-480-6875
Fax Number
718-480-1267
Provider Enumeration Date
07/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10120 Liberty Ave
City
Ozone Park
State
New York
Zip
11417-1702
Phone Number
718-480-6875
Fax Number
718-480-1267
person
Provider Business Mailing Address Details
Address
10120 Liberty Ave
City
Ozone Park
State
New York
Zip
11417-1702
Phone Number
718-480-6875
Fax Number
718-480-1267
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
B03211 (New York)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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