Provider Demographics
NPI:1427866631
Name:STANISCIA DE SANCTIS, ANA CAROLINA (MHC)
Entity type:Individual
Prefix:
First Name:ANA CAROLINA
Middle Name:
Last Name:STANISCIA DE SANCTIS
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7906 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3907
Mailing Address - Country:US
Mailing Address - Phone:718-704-0898
Mailing Address - Fax:718-540-8840
Practice Address - Street 1:7906 4TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3907
Practice Address - Country:US
Practice Address - Phone:718-704-0898
Practice Address - Fax:718-540-8840
Is Sole Proprietor?:No
Enumeration Date:2024-12-19
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP1327703101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health