Healthcare Provider Details

I. General information

NPI: 1336753680
Provider Name (Legal Business Name): ALEXANDRA LYNN PICARD DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2020
Last Update Date: 12/14/2021
Certification Date: 12/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ECHO HILLS ROAD WETMORE BUILDING
DOBBS FERRY NY
10522
US

IV. Provider business mailing address

1 ECHO HILLS ROAD WETMORE BUILDING
DOBBS FERRY NY
10522
US

V. Phone/Fax

Practice location:
  • Phone: 646-494-2237
  • Fax:
Mailing address:
  • Phone: 646-494-2237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number403192
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number403192
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: