Healthcare Provider Details

I. General information

NPI: 1750319869
Provider Name (Legal Business Name): LUZ M. ALVAREZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 01/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 FRANKLIN AVE STE L-1
GARDEN CITY NY
11530
US

IV. Provider business mailing address

640 ARLEY ROAD
FRANKLIN SQUARE NY
11010
US

V. Phone/Fax

Practice location:
  • Phone: 516-742-7878
  • Fax: 516-742-7878
Mailing address:
  • Phone: 516-705-1353
  • Fax: 516-705-3575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number197000
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number91852
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: