Provider Demographics
NPI:1699110833
Name:ALPHACARE OF NEW YORK, INC
Entity type:Organization
Organization Name:ALPHACARE OF NEW YORK, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-519-3412
Mailing Address - Street 1:755 2ND AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5951
Mailing Address - Country:US
Mailing Address - Phone:646-519-3412
Mailing Address - Fax:646-519-3422
Practice Address - Street 1:755 2ND AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-5951
Practice Address - Country:US
Practice Address - Phone:646-519-3412
Practice Address - Fax:646-519-3422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization