Alexis Nicole Alvarez
Counselor in Ronkonkoma, NY. Individual provider (NPI-1).
NPI number1689537490
StatusActive
Last updated in NPPESDec 8, 2025
Details
- NPI
- 1689537490
- Entity type
- Individual (NPI-1)
- Name
- Alexis Nicole Alvarez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2025
- Certification date
- Dec 8, 2025
- Last updated
- Dec 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
11 Wyant AveRonkonkoma, NY 11779-4119
Phone 631-612-3568
Mailing address
11 Wyant AveRonkonkoma, NY 11779-4119
Phone 631-612-3568
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