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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ALI ETEMAD-REZAIE, MD, MS, FRCSC

Active Sole Proprietor

DR. ALI ETEMAD-REZAIE, MD, MS, FRCSC is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in COOPERSTOWN, New York. NPI 1679316277 is currently active in the NPPES registry. Verify at CMS.

Adult Reconstructive Orthopaedic Surgery · COOPERSTOWN, NY

Registration Details

NPI Number
1679316277
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2024 (2.2146777372119 yrs)
Last Updated
Jul 20, 2025
Licenses
334214-01 (NY)
4301510967 (MI)
334214-01 (NY)
Sole Proprietor
Yes

Practice Information

Address
1 ATWELL RD
COOPERSTOWN, NY, 133261301
Browse NY providers · Browse ZIP 13326
Phone
6072822003
Primary Specialty
Adult Reconstructive Orthopaedic Surgery
207XX0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.