Healthcare Provider Details

I. General information

NPI: 1336075498
Provider Name (Legal Business Name): SUBLIME ALPHA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 ALTA AVE APT 6G
YONKERS NY
10705-1451
US

IV. Provider business mailing address

47 ALTA AVE APT 6G
YONKERS NY
10705-1451
US

V. Phone/Fax

Practice location:
  • Phone: 914-408-8300
  • Fax:
Mailing address:
  • Phone: 914-408-8300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: MUHAMMAD NASIR ASLAM
Title or Position: CEO
Credential:
Phone: 914-408-8300