Healthcare Provider Details

I. General information

NPI: 1528310901
Provider Name (Legal Business Name): ALEXANDRA HARE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SASHA HARE LMSW

II. Dates (important events)

Enumeration Date: 10/09/2012
Last Update Date: 10/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

97 MOHICAN PK AVE
DOBBS FERRY NY
10522-2308
US

IV. Provider business mailing address

250 WEST 57TH ST FIFTH FLOOR-NIP
NY NY
10107
US

V. Phone/Fax

Practice location:
  • Phone: 917-304-6785
  • Fax:
Mailing address:
  • Phone: 917-304-6785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: