Provider Demographics
NPI:1063104701
Name:ALPHA DIAGNOSTICS MANAGEMENT INC.
Entity type:Organization
Organization Name:ALPHA DIAGNOSTICS MANAGEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DIMITRY
Authorized Official - Middle Name:
Authorized Official - Last Name:KARGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-576-7467
Mailing Address - Street 1:1200 WATERS PL STE 104
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2729
Mailing Address - Country:US
Mailing Address - Phone:888-929-7533
Mailing Address - Fax:888-929-7537
Practice Address - Street 1:1200 WATERS PL STE 104
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2729
Practice Address - Country:US
Practice Address - Phone:888-929-7533
Practice Address - Fax:888-929-7537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No173F00000XOther Service ProvidersSleep Specialist, PhDGroup - Single Specialty