Basic Information
Provider Information
NPI: 1174766711
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALVARADO
FirstName: ROSALIE
MiddleName: O
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2700 WESTCHESTER AVE FL 2
Address2:  
City: PURCHASE
State: NY
PostalCode: 105772547
CountryCode: US
TelephoneNumber: 9146075730
FaxNumber:  
Practice Location
Address1: 1084 N BROADWAY
Address2:  
City: YONKERS
State: NY
PostalCode: 107011107
CountryCode: US
TelephoneNumber: 9148488640
FaxNumber: 9148488641
Other Information
ProviderEnumerationDate: 04/13/2009
LastUpdateDate: 03/20/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X269876-1NYY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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