Individual
DR. ALIVA DE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 515-2330
(718) 515-2608
Mailing address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 515-2330
(718) 515-2608
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
274876-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/19/2007
Last updated
02/07/2018
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