Provider Demographics
NPI:1679242937
Name:ALVAREZ, BRITTANY KAYLA (RN)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:KAYLA
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 GORES DR
Mailing Address - Street 2:
Mailing Address - City:MASTIC
Mailing Address - State:NY
Mailing Address - Zip Code:11950-2007
Mailing Address - Country:US
Mailing Address - Phone:631-308-9705
Mailing Address - Fax:
Practice Address - Street 1:19 GORES DR
Practice Address - Street 2:
Practice Address - City:MASTIC
Practice Address - State:NY
Practice Address - Zip Code:11950-2007
Practice Address - Country:US
Practice Address - Phone:631-308-9705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY825123-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse