Mary Stephanie Alviar De Vera

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

031024 Issued in NY

Practice address

955 Stark LN
Valley Cottage, NY 10989-2105

Phone

(845) 538-9762

NPI assigned

Sep 14, 2020

Last updated

Sep 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1215542543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 STARK LN",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892105",
            "telephone_number": "845-538-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 STARK LN",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892105",
            "telephone_number": "845-538-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VERA",
        "first_name": "MARY STEPHANIE",
        "middle_name": "ALVIAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "031024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS Albany, LLC
• Rachelle Dacanay, OTR/L
• David B. Southren MD PC (Advanced Cardiovascular Care of Hudson Valley)
• Monique Anntionette Davis, LMHC
• Mary Denise Inah Alviar De Vera, OTR/L
• Paula Decrescenzo, LMT
• Andrea Michelle Deierlein, RN
• Liz S Dejesus, RN
• Hugh Francis Delaney
• Noel Teresa Delgado, LPN

• Speech-Language Pathologist in Valley Cottage, NY
• Providers in Valley Cottage, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.