Provider Demographics
NPI:1629203286
Name:ALVAREZ, EDWARD ARANZASO (DDS)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:ARANZASO
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 E 40TH ST RM 1002
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-1205
Mailing Address - Country:US
Mailing Address - Phone:212-684-4463
Mailing Address - Fax:
Practice Address - Street 1:30 E 40TH ST RM 1002
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1205
Practice Address - Country:US
Practice Address - Phone:212-684-4463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0481311223G0001X
FLDN27525122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist