Healthcare Provider Details

I. General information

NPI: 1023232501
Provider Name (Legal Business Name): ALBA INTERNATIONAL TRADING CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2308 KNAPP ST
BROOKLYN NY
11229-5924
US

IV. Provider business mailing address

4809 AVENUE N SUITE 324
BROOKLYN NY
11234-3711
US

V. Phone/Fax

Practice location:
  • Phone: 718-252-4120
  • Fax: 718-252-3832
Mailing address:
  • Phone: 718-252-4120
  • Fax: 718-252-3832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0957121
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0957121
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number0957121
License Number StateNY

VIII. Authorized Official

Name: MR. ZAUR YUSUFOV
Title or Position: PRESIDENT
Credential:
Phone: 718-252-4120