Provider Demographics
NPI:1932901386
Name:ANTIARIS-ADLER, ANNA D (MA CERTIFIED SCHOO)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:D
Last Name:ANTIARIS-ADLER
Suffix:
Gender:F
Credentials:MA CERTIFIED SCHOO
Other - Prefix:MRS
Other - First Name:ANNA
Other - Middle Name:D
Other - Last Name:ANTIARIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CERTIFIED SCHOO
Mailing Address - Street 1:1163 DOBBS FERRY RD WHITE PLAINS N.Y. 10607
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10607
Mailing Address - Country:US
Mailing Address - Phone:914-523-4975
Mailing Address - Fax:
Practice Address - Street 1:1163 DOBBS FERRY RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607
Practice Address - Country:US
Practice Address - Phone:914-523-4975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY850914103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist