Most Relevant Information
Provider Data
| NPI Number: | 1003307216 |
| Provider Name: | ALEXA MARIE RICKERT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | P05237 |
Most Important Dates
| Enumeration Date: | 05/23/2018 |
| Last Updated: | 05/23/2018 |
Provider Practice Location
585 STEWART AVE STE 408
GARDEN CITY
NY
115304701
Practice Location Phone/Fax
| Phone: | 5162807285 |
| Fax: |
Provider Mailing Location
250 HARRISON AVE
MINEOLA
NY
115013943
Provider Mailing Phone/Fax
| Phone: | 9738659269 |
| Fax: |