MEDICARE: MS. MARIA ALVAREZ NP

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	363LP0200X	Pediatric Nurse Practitioner	381454	NY

General Provider Information

NPI Number	:	1124053129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIA ALVAREZ NP

Provider Business Mailing Address
First Line	:	2788 WEBB AVE FL 1
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10468-2547
Country	:	US
Telephone Number	:	718-543-9215
Fax Number	:

Provider Business Practice Location Address
First Line	:	227 MADISON ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10002-7537
Country	:	US
Telephone Number	:	212-238-7726
Fax Number	:

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	07/08/2007

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