Individual
MS. LUCIA ALVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
9315 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7943
(718) 803-2700
(718) 803-2711
Mailing address
9315 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7943
(718) 803-2700
(718) 803-2711
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012703
NY
Other
Enumeration date
11/02/2008
Last updated
11/02/2008
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