Provider Demographics
NPI:1063677482
Name:HACKETT, ALYSSA M (MD)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:M
Last Name:HACKETT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:660 WHITE PLAINS RD STE 400
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5107
Mailing Address - Country:US
Mailing Address - Phone:914-984-2546
Mailing Address - Fax:
Practice Address - Street 1:150 E 58TH ST FL 34
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10155-3499
Practice Address - Country:US
Practice Address - Phone:212-722-5570
Practice Address - Fax:212-722-4573
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2023-10-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY275035-1207YP0228X, 207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology