Provider Demographics
NPI:1679620223
Name:ALVAREZ, MARGARET B (PSYD,MSCP)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:B
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:PSYD,MSCP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:978 ROUTE 45
Mailing Address - Street 2:SUITE 203
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3600
Mailing Address - Country:US
Mailing Address - Phone:845-354-1258
Mailing Address - Fax:845-354-6478
Practice Address - Street 1:978 ROUTE 45
Practice Address - Street 2:SUITE 203
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3521
Practice Address - Country:US
Practice Address - Phone:845-354-1258
Practice Address - Fax:845-354-6478
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011448-01103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist