Provider Demographics
NPI:1760888606
Name:GARCIA, ANA O (CRC, CASAC)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:O
Last Name:GARCIA
Suffix:
Gender:F
Credentials:CRC, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 CLAREMONT PKWY APT 3D
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-8053
Mailing Address - Country:US
Mailing Address - Phone:347-485-2463
Mailing Address - Fax:718-387-3015
Practice Address - Street 1:728 DRIGGS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-4343
Practice Address - Country:US
Practice Address - Phone:718-782-6802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor