Individual
ALEXIS NICOLE ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 WYANT AVE, RONKONKOMA, NY 11779-4119
(631) 612-3568
Mailing address
11 WYANT AVE, RONKONKOMA, NY 11779-4119
(631) 612-3568
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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