Individual
MARISSA LUCIA ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(347) 343-1656
Mailing address
834 NEWPORT CIR, REDWOOD CITY, CA 94065-1913
(650) 464-8231
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
720492-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402499
NY
Other
Enumeration date
07/20/2017
Last updated
04/29/2023
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