Provider Demographics
NPI:1366977993
Name:ALTIMA CARE INC.
Entity type:Organization
Organization Name:ALTIMA CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FATIMA
Authorized Official - Middle Name:FIROZ
Authorized Official - Last Name:VISRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-280-4580
Mailing Address - Street 1:95 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-4822
Mailing Address - Country:US
Mailing Address - Phone:516-280-4580
Mailing Address - Fax:516-505-5297
Practice Address - Street 1:95 MADISON AVE
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-4822
Practice Address - Country:US
Practice Address - Phone:516-280-4580
Practice Address - Fax:516-505-5297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034812333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy