Provider Demographics
NPI:1124429642
Name:CSSI HOLDINGS, LLC D/B/A ALPHA CARE SUPPLY
Entity type:Organization
Organization Name:CSSI HOLDINGS, LLC D/B/A ALPHA CARE SUPPLY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHUNG
Authorized Official - Middle Name:H
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-568-3010
Mailing Address - Street 1:21 STRINGHAM AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-3915
Mailing Address - Country:US
Mailing Address - Phone:516-568-3010
Mailing Address - Fax:516-256-3442
Practice Address - Street 1:21 STRINGHAM AVE
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-3915
Practice Address - Country:US
Practice Address - Phone:516-568-3010
Practice Address - Fax:516-256-3442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty