Provider Demographics
NPI:1831529817
Name:ALPHA MEDICAL SUPPLIES
Entity type:Organization
Organization Name:ALPHA MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YURIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-496-9476
Mailing Address - Street 1:505 MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CTR
Mailing Address - State:NY
Mailing Address - Zip Code:11570-5491
Mailing Address - Country:US
Mailing Address - Phone:718-496-9476
Mailing Address - Fax:516-945-0906
Practice Address - Street 1:505 MERRICK RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CTR
Practice Address - State:NY
Practice Address - Zip Code:11570-5491
Practice Address - Country:US
Practice Address - Phone:718-496-9476
Practice Address - Fax:516-945-0906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies