Basic Information
| Provider Information | |||||||||
| NPI: | 1215008776 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALVAREZ | ||||||||
| FirstName: | MAXCITA | ||||||||
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| Credential: | OTR, CHT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31 NEW DORP LANE | ||||||||
| Address2: | |||||||||
| City: | STATEN ISLAND | ||||||||
| State: | NY | ||||||||
| PostalCode: | 103065033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188445350 | ||||||||
| FaxNumber: | 7183900067 | ||||||||
| Practice Location | |||||||||
| Address1: | 4013 AVENUE U | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112345033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186924100 | ||||||||
| FaxNumber: | 7186920089 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/13/2006 | ||||||||
| LastUpdateDate: | 02/11/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225XH1200X | 4648-1 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand |
No ID Information.