Healthcare Provider Details
I. General information
NPI: 1497469175
Provider Name (Legal Business Name): ALFIE HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/09/2023
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
222 BROADWAY FL 22
NEW YORK NY
10038-2570
US
IV. Provider business mailing address
222 BROADWAY FL 19
NEW YORK NY
10038-2550
US
V. Phone/Fax
- Phone: 844-625-0623
- Fax:
- Phone: 908-636-8369
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083B0002X |
| Taxonomy | Obesity Medicine (Preventive Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALEXANDER
SINGH
Title or Position: MANAGING OFFICIAL
Credential:
Phone: 844-625-0623