Individual
JOSE ALVAREZ
Active
Individual
JOSE ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
23486
NY
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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