MEDICARE: ALFA HEALTHCARE SUPPLY, 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	251E00000X	Home Health Agency
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy
4	332B00000X	Durable Medical Equipment & Medical Supplies	1302838	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	2127827	OTHER		PK

General Provider Information

NPI Number	:	1982732384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALFA HEALTHCARE SUPPLY, INC

Provider Business Mailing Address
First Line	:	26112 E WILLISTON AVE
Second Line	:
City	:	FLORAL PARK
State	:	NY
Zip	:	11001-1145
Country	:	US
Telephone Number	:	718-343-3860
Fax Number	:	718-343-3949

Provider Business Practice Location Address
First Line	:	26112 E WILLISTON AVE
Second Line	:
City	:	FLORAL PARK
State	:	NY
Zip	:	11001-1145
Country	:	US
Telephone Number	:	718-343-3860
Fax Number	:	718-343-3949

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILLIAM NORONHA
Credential	:
Telephone Number	:	718-343-3860

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	03/26/2024

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Directions to “ALFA HEALTHCARE SUPPLY, INC ” Practice Location

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