Doctor Name: | DR. MARK U ALVARADO |
NPI Number: | 1821090663 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 25MA05668900 |
Business Practice Address: | 514 49th St Sunset Terrace Family Health Center Brooklyn, NY - 112202010 |
Business Phone Number: | 7184375235 |
Business Fax Number: | 7184375239 |
Mailing Address: | 514 - 49th Street, Sunset Terrace Family Health Center BROOKLYN |
State: | NY |
Postal Code: | 11220 |
Phone Number: | 7184375235 |
Fax Number: | 7184375239 |
NPI Enumeration Date: | 08/11/2005 |
NPI Last Update Date: | 06/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 25MA05668900 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |