Provider Demographics
NPI:1629203286
Name:ALVAREZ, EDWARD ARANZASO (DDS)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:ARANZASO
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 E 36TH ST
Mailing Address - Street 2:SUITE 1H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3669
Mailing Address - Country:US
Mailing Address - Phone:212-684-4463
Mailing Address - Fax:212-684-0316
Practice Address - Street 1:210 E 36TH ST
Practice Address - Street 2:SUITE 1H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3669
Practice Address - Country:US
Practice Address - Phone:212-684-4463
Practice Address - Fax:212-684-0316
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0481311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice