Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 4648-1 | NY |
NPI | 1215008776 |
---|---|
Provider Name | Maxcita Alvarez |
First Address | Staten Island, NY 10306-5033 |
Second Address | Brooklyn, NY 11234-5033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 11/02/2015 |