Healthcare Provider Details

I. General information

NPI: 1477995181
Provider Name (Legal Business Name): AL-KHOEI BENEVOLENT FOUNDATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2013
Last Update Date: 07/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8989 VAN WYCK EXPY
JAMAICA NY
11435-4129
US

IV. Provider business mailing address

8989 VAN WYCK EXPY
JAMAICA NY
11435-4129
US

V. Phone/Fax

Practice location:
  • Phone: 718-909-9777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALI SYED
Title or Position: PRESIDENT
Credential:
Phone: 718-909-9777