Individual
LUZ FABIOLA ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
434 S KINGSBORO AVE, JOHNSTOWN, NY 12095-3822
(518) 752-5275
(518) 752-5277
Mailing address
99 E STATE ST, PO BOX 1250, GLOVERSVILLE, NY 12078-1203
(518) 775-4205
(518) 775-4225
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
168586
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01184601
—
NY
Enumeration date
12/28/2005
Last updated
01/22/2015
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