Provider Demographics
NPI:1134343718
Name:NAVARRO, ALBERTO
Entity type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:
Last Name:NAVARRO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 WACCABUC RD
Mailing Address - Street 2:
Mailing Address - City:GOLDENS BRIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10526-1401
Mailing Address - Country:US
Mailing Address - Phone:914-301-5268
Mailing Address - Fax:845-480-5423
Practice Address - Street 1:15 LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-2924
Practice Address - Country:US
Practice Address - Phone:845-675-7596
Practice Address - Fax:845-480-5423
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005419101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health