Healthcare Provider Details

I. General information

NPI: 1568384352
Provider Name (Legal Business Name): ALEXANDER CLOAREC PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6052 MADISON ST APT 4A
RIDGEWOOD NY
11385-3915
US

IV. Provider business mailing address

6052 MADISON ST APT 4A
RIDGEWOOD NY
11385-3915
US

V. Phone/Fax

Practice location:
  • Phone: 347-471-8940
  • Fax:
Mailing address:
  • Phone: 347-471-8940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number028329
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: