Provider Demographics
NPI:1528310901
Name:HARE, ALEXANDRA
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:HARE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SASHA
Other - Middle Name:
Other - Last Name:HARE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:250 WEST 57TH ST
Mailing Address - Street 2:FIFTH FLOOR-NIP
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10107
Mailing Address - Country:US
Mailing Address - Phone:917-304-6785
Mailing Address - Fax:
Practice Address - Street 1:97 MOHICAN PK AVE
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-2308
Practice Address - Country:US
Practice Address - Phone:917-304-6785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-09
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical