Provider Demographics
NPI:1588803787
Name:D-ALEF MULTISERVICE, INC
Entity Type:Organization
Organization Name:D-ALEF MULTISERVICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OMNER
Authorized Official - Prefix:
Authorized Official - First Name:DINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BADALOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-561-3120
Mailing Address - Street 1:8027 135TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-1029
Mailing Address - Country:US
Mailing Address - Phone:347-561-3120
Mailing Address - Fax:347-561-3142
Practice Address - Street 1:8027 135TH ST
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-1029
Practice Address - Country:US
Practice Address - Phone:347-561-3120
Practice Address - Fax:347-561-3142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service