Provider Demographics
NPI:1124607742
Name:ALVAREZ, BROOKLYN (MSC)
Entity type:Individual
Prefix:
First Name:BROOKLYN
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-5007
Mailing Address - Country:US
Mailing Address - Phone:914-406-0956
Mailing Address - Fax:
Practice Address - Street 1:151 MAPLE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-5007
Practice Address - Country:US
Practice Address - Phone:914-406-0956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program