Individual
DR. JEANETTE E ALVARENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
990 WESTBURY ROAD, SUITE 100, WESTBURY, NY 11590
(516) 333-4100
(516) 333-4255
Mailing address
361 VANDERBILT PARKWAY, DIX HILLS, NY 11746
(631) 427-2271
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
192680
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01888366
—
NY
Enumeration date
07/27/2006
Last updated
07/25/2012
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