Provider Demographics
NPI:1891042677
Name:ALVAREZ, DORA (SLP)
Entity Type:Individual
Prefix:
First Name:DORA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 KINGS COLLEGE PL
Mailing Address - Street 2:APT 2K
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-1540
Mailing Address - Country:US
Mailing Address - Phone:718-938-5777
Mailing Address - Fax:
Practice Address - Street 1:3535 KINGS COLLEGE PL
Practice Address - Street 2:APT 2K
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-1540
Practice Address - Country:US
Practice Address - Phone:718-938-5777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist