Provider Demographics
NPI:1225632631
Name:CRISTINA, HANNAH MONET (MHC)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:MONET
Last Name:CRISTINA
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:HC
Other - Middle Name:
Other - Last Name:CRISTINA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MHC
Mailing Address - Street 1:1384 BROADWAY RM 1006
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-0528
Mailing Address - Country:US
Mailing Address - Phone:212-730-7400
Mailing Address - Fax:
Practice Address - Street 1:1384 BROADWAY RM 1006
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-0528
Practice Address - Country:US
Practice Address - Phone:212-730-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP107706101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health