Individual
ALYSIA MONTEVERDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3524 83RD ST, JACKSON HEIGHTS, NY 11372-5229
(718) 639-0700
Mailing address
3524 83RD ST, JACKSON HEIGHTS, NY 11372-5229
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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