Organization
MONTRACE NP IN ADULT HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONTRACE ALVES-RICHARD AGNP (OWNER)
(718) 702-1291
Entity
Organization
Contact information
Practice address
9043 SPRINGFIELD BLVD, JAMAICA, NY 11428-1352
(718) 702-1291
(631) 850-6884
Mailing address
9043 SPRINGFIELD BLVD, JAMAICA, NY 11428-1352
(718) 702-1291
(631) 850-6884
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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