MEDICARE: AL KOSTO INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	025465	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2064332	OTHER		PK

General Provider Information

NPI Number	:	1407920937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AL KOSTO INC

Provider Business Mailing Address
First Line	:	3765 90TH ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7829
Country	:	US
Telephone Number	:	718-446-2068
Fax Number	:	718-446-2068

Provider Business Practice Location Address
First Line	:	3765 90TH ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7829
Country	:	US
Telephone Number	:	718-446-2068
Fax Number	:	718-446-2068

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ELENA LUNA
Credential	:
Telephone Number	:	718-446-2068

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	01/19/2022

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Directions to “AL KOSTO INC ” Practice Location

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