Individual
ANA LUCIA ALVITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
82-68 164TH STREET, JAMAICA, NY 11432
(718) 883-3000
Mailing address
82-68 164TH STREET, JAMAICA, NY 11432
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016045
NY
363AM0700X
Medical Physician Assistant
25MP00494700
NJ
Other
Enumeration date
10/19/2012
Last updated
02/05/2020
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