Individual
MRS. SAMANTHA EVE ALVARADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
249 CHESTNUT AVE, BOGOTA, NJ 07603-1733
(646) 884-2577
Mailing address
249 CHESTNUT AVE, BOGOTA, NJ 07603-1733
(646) 884-2577
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314037
NY
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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