Individual
MR. KERNOLD A. ALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-5735
(718) 630-3045
Mailing address
849 CUSTER ST, VALLEY STREAM, NY 11580-1208
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005536
NY
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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