Individual
ALEXANDRA N TRICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
400 DOANSBURG RD, BREWSTER, NY 10509-5902
(845) 279-2995
Mailing address
15 LOCUST LN, POUGHQUAG, NY 12570-5445
(518) 353-3334
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33
—
NY
Enumeration date
01/29/2022
Last updated
01/29/2022
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