Provider Demographics
NPI:1992698369
Name:ALCIVAR, MIYA
Entity type:Individual
Prefix:
First Name:MIYA
Middle Name:
Last Name:ALCIVAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 BERGENLINE AVE APT 503
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-3266
Mailing Address - Country:US
Mailing Address - Phone:551-556-5120
Mailing Address - Fax:
Practice Address - Street 1:HK SQUARE APARTMENT JALAN STAPOK UTAMA
Practice Address - Street 2:BLOCK A LEVEL 7 UNIT 3
Practice Address - City:KUCHING
Practice Address - State:SARAWAK
Practice Address - Zip Code:93250
Practice Address - Country:MY
Practice Address - Phone:551-556-5120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter