Provider Demographics
NPI:1083959639
Name:FIRST AMERICAN ALLIANCE
Entity Type:Organization
Organization Name:FIRST AMERICAN ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GIKOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SONAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-441-3333
Mailing Address - Street 1:8414 98TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-1735
Mailing Address - Country:US
Mailing Address - Phone:718-441-3333
Mailing Address - Fax:718-795-1941
Practice Address - Street 1:8414 98TH ST
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-1735
Practice Address - Country:US
Practice Address - Phone:718-441-3333
Practice Address - Fax:718-795-1941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-09
Last Update Date:2012-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1415682332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies