Individual
MRS. ALICE VIRGINIA LUNA-TAVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5700 ARLINGTON AVE, APT.# 5H, BRONX, NY 10471-1503
(347) 427-4845
Mailing address
5700 ARLINGTON AVE, APT.# 5H, BRONX, NY 10471-1503
(347) 427-4845
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011505-1
NY
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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