Healthcare Provider Details

I. General information

NPI: 1215149752
Provider Name (Legal Business Name): TERRY ANNE ALEXANDER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1756 RTE 9D
COLD SPRING NY
10516
US

IV. Provider business mailing address

1756 ROUTE 9D FL 2
COLD SPRING NY
10516-2619
US

V. Phone/Fax

Practice location:
  • Phone: 845-809-5661
  • Fax: 845-809-5663
Mailing address:
  • Phone: 845-809-5661
  • Fax: 845-809-5663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number330623
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: