Individual
MRS. ALLISON JAYNE ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 EXECUTIVE DR, SUITE LL 105, PLAINVIEW, NY 11803-1718
(516) 576-2040
Mailing address
42 FEDERAL LN, CORAM, NY 11727-1618
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
530853111
NY
174400000X
Specialist
530854111
NY
174400000X
Specialist
Primary
530855111
NY
174400000X
Specialist
530856111
NY
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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