Individual
DR. JEANNIE ELIZABETH ALVARADO- ASTAIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3426 MERRICK RD, SEAFORD, NY 11783-2805
(516) 783-9773
(516) 783-9770
Mailing address
3426 MERRICK RD, SEAFORD, NY 11783-2805
(516) 783-9773
(516) 783-9770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
053016-1
NY
1223P0221X
Pediatric Dentistry
Primary
8680
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02955948
—
NY
Enumeration date
12/12/2006
Last updated
02/07/2020
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