MEDICARE: SANDRA E ALVARADO NP CNS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F400461	NY

General Provider Information

NPI Number	:	1154502649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA E ALVARADO NP CNS

Provider Business Mailing Address
First Line	:	516 WEST 168TH STREET
Second Line	:
City	:	NEW YORK CITY
State	:	NY
Zip	:	10032-9671
Country	:	US
Telephone Number	:	212-326-5705
Fax Number	:	212-326-5700

Provider Business Practice Location Address
First Line	:	516 WEST 168TH STREET
Second Line	:	1ST FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10032-9671
Country	:	US
Telephone Number	:	212-326-5705
Fax Number	:	212-326-5700

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2007
Last Update Date	:	10/06/2016

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