Healthcare Provider Details

I. General information

NPI: 1407354533
Provider Name (Legal Business Name): ALPHA MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2018
Last Update Date: 01/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 COLLEGE AVE
NIAGARA FALLS NY
14305-1573
US

IV. Provider business mailing address

560 COLLEGE AVE
NIAGARA FALLS NY
14305-1573
US

V. Phone/Fax

Practice location:
  • Phone: 716-524-1606
  • Fax:
Mailing address:
  • Phone: 716-524-1606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: KIRAN SAMUEL
Title or Position: OWNER
Credential:
Phone: 716-524-1606