Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fazli A Halimi

Individual provider Physician Assistant · NPI 1710848262

Fazli A Halimi is a Physician Assistant in Valley Stream, New York. Qualified in 2025, 1 year ago. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025

Practice location Address checks out

1585 Dutch Broadway
Valley Stream, NY 11580-1333
Phone: (516) 490-6300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 034374 (NY)

Record details

NPI number1710848262
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 22, 2025
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address1585 Dutch Broadway, Valley Stream, NY 11580-1333

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Valley Stream