Healthcare Provider Details

I. General information

NPI: 1023287869
Provider Name (Legal Business Name): ALPHA MEDICAL EQUIPMENT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2008
Last Update Date: 02/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21916 LINDEN BLVD
CAMBRIA HEIGHTS NY
11411-1619
US

IV. Provider business mailing address

21916 LINDEN BLVD
CAMBRIA HEIGHTS NY
11411-1619
US

V. Phone/Fax

Practice location:
  • Phone: 718-723-5650
  • Fax: 718-723-5662
Mailing address:
  • Phone: 718-723-5650
  • Fax: 718-723-5662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MS. HYUNSOOK KIM
Title or Position: PRESIDENT
Credential:
Phone: 718-723-5650