Provider Demographics
NPI:1518195817
Name:ALVAREZ, BERNADETTE MARIE (EDD)
Entity Type:Individual
Prefix:MS
First Name:BERNADETTE
Middle Name:MARIE
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 ETHEL ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-3107
Mailing Address - Country:US
Mailing Address - Phone:516-527-6403
Mailing Address - Fax:516-568-1493
Practice Address - Street 1:37 ETHEL ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-3107
Practice Address - Country:US
Practice Address - Phone:516-527-6403
Practice Address - Fax:516-568-1493
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-24
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053446841171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor