Provider Demographics
NPI:1346846557
Name:GARCIA, EVA
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2805 POND PL APT 4H
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-3635
Mailing Address - Country:US
Mailing Address - Phone:917-981-0505
Mailing Address - Fax:
Practice Address - Street 1:26 PARK PL
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-3633
Practice Address - Country:US
Practice Address - Phone:201-283-9600
Practice Address - Fax:201-283-9644
Is Sole Proprietor?:No
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst