Provider Demographics
NPI:1992192793
Name:ALPHA COMMUNICATIONS OF LI INC
Entity Type:Organization
Organization Name:ALPHA COMMUNICATIONS OF LI INC
Other - Org Name:ALPHA MEDICAL ORTHOPEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DME VENDOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:SANTAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-304-7433
Mailing Address - Street 1:78-02 65 ST
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385
Mailing Address - Country:US
Mailing Address - Phone:917-304-7433
Mailing Address - Fax:718-709-7652
Practice Address - Street 1:953 SOUTHERN BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459
Practice Address - Country:US
Practice Address - Phone:718-542-0472
Practice Address - Fax:718-709-7652
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALPHA COMMUNICATIONS OF LI INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier