Provider Demographics
NPI:1508924648
Name:ALVAREZ, MOSES DAVID (DIPL AC, LAC, RN)
Entity Type:Individual
Prefix:MR
First Name:MOSES
Middle Name:DAVID
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:DIPL AC, LAC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MUNCY
Mailing Address - State:PA
Mailing Address - Zip Code:17756-1006
Mailing Address - Country:US
Mailing Address - Phone:551-482-0345
Mailing Address - Fax:
Practice Address - Street 1:22 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MUNCY
Practice Address - State:PA
Practice Address - Zip Code:17756-1307
Practice Address - Country:US
Practice Address - Phone:570-244-4188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK000697171100000X
PARN659121163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No163W00000XNursing Service ProvidersRegistered Nurse