Healthcare Provider Details

I. General information

NPI: 1407139728
Provider Name (Legal Business Name): JAMIE ALVARADO MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2011
Last Update Date: 11/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3740 BAYCHESTER AVE
BRONX NY
10466-5031
US

IV. Provider business mailing address

2835 41ST ST APT A9
ASTORIA NY
11103-3327
US

V. Phone/Fax

Practice location:
  • Phone: 718-881-2418
  • Fax:
Mailing address:
  • Phone: 917-406-1014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: