Healthcare Provider Details

I. General information

NPI: 1073028007
Provider Name (Legal Business Name): AXZONS HEALTH SYSTEM CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2017
Last Update Date: 03/10/2021
Certification Date: 03/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 E SUNRISE HWY STE 500
VALLEY STREAM NY
11581-1233
US

IV. Provider business mailing address

70 E SUNRISE HWY
VALLEY STREAM NY
11581-1240
US

V. Phone/Fax

Practice location:
  • Phone: 866-429-9667
  • Fax: 866-429-9667
Mailing address:
  • Phone: 866-429-9667
  • Fax: 866-429-9667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number2252-L
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. SANDEEP KALRA
Title or Position: DIRECTOR
Credential: MD
Phone: 866-429-9667