| Doctor Name: | NICOLLE ALVAREZ |
| NPI Number: | 1942591193 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPA-C |
| License Number: | 013064-1 |
| Business Practice Address: | 11835 Rt 9w West Coxsackie, NY - 121923605 |
| Business Phone Number: | 5187319000 |
| Business Fax Number: | |
| Mailing Address: | 1657 8th Ave, Apt 4c BROOKLYN |
| State: | NY |
| Postal Code: | 112155658 |
| Phone Number: | 6316818231 |
| Fax Number: | |
| NPI Enumeration Date: | 04/22/2011 |
| NPI Last Update Date: | 09/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 013064-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |