Healthcare Provider Details

I. General information

NPI: 1215871025
Provider Name (Legal Business Name): LIAM ALKALAY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11835 QUEENS BLVD
FOREST HILLS NY
11375-7200
US

IV. Provider business mailing address

689 MANHATTAN AVE APT 1
BROOKLYN NY
11222-3113
US

V. Phone/Fax

Practice location:
  • Phone: 718-651-7770
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number122796-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: