Provider Demographics
NPI:1942669908
Name:ALVERO, NANETTE OBREGON
Entity Type:Individual
Prefix:
First Name:NANETTE
Middle Name:OBREGON
Last Name:ALVERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6770 YELLOWSTONE BLVD
Mailing Address - Street 2:4A
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2858
Mailing Address - Country:US
Mailing Address - Phone:347-819-8099
Mailing Address - Fax:
Practice Address - Street 1:6770 YELLOWSTONE BLVD
Practice Address - Street 2:4A
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-2858
Practice Address - Country:US
Practice Address - Phone:347-819-8099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-18
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037972-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist