Provider Demographics
NPI:1225464696
Name:PISACRETA, CHRISTINA (THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:
Last Name:PISACRETA
Suffix:
Gender:F
Credentials:THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 W 11TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-2443
Mailing Address - Country:US
Mailing Address - Phone:646-938-5695
Mailing Address - Fax:
Practice Address - Street 1:1904 W 11TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2443
Practice Address - Country:US
Practice Address - Phone:646-938-5695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist