Provider Demographics
NPI:1902159304
Name:ALVAREZ MD & LEARY MD PC
Entity Type:Organization
Organization Name:ALVAREZ MD & LEARY MD PC
Other - Org Name:VASCULAR ASSOCIATES OF WNY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALVAREZ-PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-867-4107
Mailing Address - Street 1:3041 ORCHARD PARK RD
Mailing Address - Street 2:D
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1208
Mailing Address - Country:US
Mailing Address - Phone:716-671-8393
Mailing Address - Fax:716-671-8398
Practice Address - Street 1:3041 ORCHARD PARK RD
Practice Address - Street 2:D
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1208
Practice Address - Country:US
Practice Address - Phone:716-671-8393
Practice Address - Fax:716-671-8398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty