Provider Demographics
NPI:1982019287
Name:ALVAREZ, ASHLEY MARIE
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:MARIE
Last Name:ALVAREZ
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 1:245 MCKINLEY PKWY
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220-2221
Mailing Address - Country:US
Mailing Address - Phone:716-336-8827
Mailing Address - Fax:
Practice Address - Street 1:463 ALLENHURST RD
Practice Address - Street 2:APT A
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14226-2873
Practice Address - Country:US
Practice Address - Phone:716-712-6372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY314472164W00000X
NY765109163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse