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NPI Code Detail

MEDICARE: CARMEN M. ALVIRA

MEDICARE: CARMEN M. ALVIRA
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
1324500000XSubstance Abuse Rehabilitation Facility001410NY

General Provider Information

NPI Number : 1013126804
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARMEN M. ALVIRA
Provider Business Mailing Address
First Line : 1674 BOSTON RD
Second Line : APT. 1-B
City : BRONX
State : NY
Zip : 10460-4906
Country : US
Telephone Number : 646-752-1549
Fax Number : 718-299-5905
Provider Business Practice Location Address
First Line : 1674 BOSTON RD
Second Line : APT. 1-B
City : BRONX
State : NY
Zip : 10460-4906
Country : US
Telephone Number : 646-752-1549
Fax Number : 718-299-5905
Authorized Official
Title or Position : REHABILITATION COUNSELOR
Name : MS. CARMEN M. ALVIRA
Credential : MS
Telephone Number : 718-299-3300
Provider Enumeration Date : 05/21/2007
Last Update Date : 08/22/2020

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