Healthcare Provider Details

I. General information

NPI: 1639033004
Provider Name (Legal Business Name): TAYLOR LYNN D'ALESSANDRO OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 6TH AVE
BROOKLYN NY
11217-4960
US

IV. Provider business mailing address

102 MADISON AVE FL 8
NEW YORK NY
10016-7584
US

V. Phone/Fax

Practice location:
  • Phone: 646-222-8995
  • Fax: 646-805-1351
Mailing address:
  • Phone: 212-759-2282
  • Fax: 212-379-2123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number030400-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: