Individual
ALVERIS MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
93-15 ROOSEVELT AVE., JACKSON HEIGHTS, NY 11372-7935
(917) 968-6844
Mailing address
9315 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7943
(917) 968-6844
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207431
NY
207RP1001X
Pulmonary Disease Physician
Primary
207431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01936061
—
NY
01
—
207431
LICENSE #
NY
Enumeration date
03/29/2006
Last updated
05/20/2011
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