Provider Demographics
NPI:1154502649
Name:ALVARADO, SANDRA E (NP CNS)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:E
Last Name:ALVARADO
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Gender:F
Credentials:NP CNS
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Mailing Address - Street 1:516 WEST 168TH STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10032-9671
Mailing Address - Country:US
Mailing Address - Phone:212-326-5705
Mailing Address - Fax:212-326-5700
Practice Address - Street 1:516 WEST 168TH STREET
Practice Address - Street 2:1ST FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-9671
Practice Address - Country:US
Practice Address - Phone:212-326-5705
Practice Address - Fax:212-326-5700
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2016-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF400461363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health