Healthcare Provider Details

I. General information

NPI: 1346104015
Provider Name (Legal Business Name): ALESSANDRA OKAY L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 E PUTNAM AVE
COS COB CT
06807-2703
US

IV. Provider business mailing address

49 GILLIAM LN
RIVERSIDE CT
06878-2200
US

V. Phone/Fax

Practice location:
  • Phone: 917-658-4677
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number886
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: