Healthcare Provider Details

I. General information

NPI: 1013832674
Provider Name (Legal Business Name): ALEXANDRA CLEARY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

726 E MAIN ST STE 102
MIDDLETOWN NY
10940-2654
US

IV. Provider business mailing address

726 E MAIN ST STE 102
MIDDLETOWN NY
10940-2654
US

V. Phone/Fax

Practice location:
  • Phone: 845-394-0080
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: