Basic Information
| Provider Information | |||||||||
| NPI: | 1518520329 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | UDEY | ||||||||
| FirstName: | ALEXANDER | ||||||||
| MiddleName: | JAMES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1311 MAMARONECK AVE STE 140 | ||||||||
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| City: | WHITE PLAINS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 106055224 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9142944050 | ||||||||
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| Practice Location | |||||||||
| Address1: | 651 OLD COUNTRY RD STE 200 | ||||||||
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| City: | PLAINVIEW | ||||||||
| State: | NY | ||||||||
| PostalCode: | 118034938 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5166818822 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2019 | ||||||||
| LastUpdateDate: | 07/14/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 023380 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.