Provider Demographics
NPI:1750319869
Name:ALVAREZ, LUZ M (MD)
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:M
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 ARLEY ROAD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010
Mailing Address - Country:US
Mailing Address - Phone:516-705-1353
Mailing Address - Fax:516-705-3575
Practice Address - Street 1:520 FRANKLIN AVE
Practice Address - Street 2:STE L-1
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530
Practice Address - Country:US
Practice Address - Phone:516-742-7878
Practice Address - Fax:516-742-7878
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1970002084P0800X
FL918522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01582934Medicaid
NY01582934Medicaid
NY10766539Medicare UPIN
NYE14903Medicare PIN