Individual
MS. GLENNIS MERCEDES ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 N BELLE MEAD RD, EAST SETAUKET, NY 11733-3483
(212) 659-8551
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-8279
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
239933
NC
207R00000X
Internal Medicine Physician
Primary
283155
NY
Other
Enumeration date
04/05/2013
Last updated
08/26/2020
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