Individual
LUIS MENEJILDO ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-BC
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(646) 571-5780
Mailing address
1210 CROES AVE APT 10B, BRONX, NY 10472-4551
(646) 571-5780
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F432436
NY
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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