Provider Demographics
NPI:1780823963
Name:PEREIRA, ANA CAROLINA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANA CAROLINA
Middle Name:
Last Name:PEREIRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 W 68TH ST APT 28E
Mailing Address - Street 2:AP 28E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5835
Mailing Address - Country:US
Mailing Address - Phone:917-273-7197
Mailing Address - Fax:
Practice Address - Street 1:1230 YORK AVENUE BOX 165
Practice Address - Street 2:ROCKEFELLER UNIVERSITY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:617-667-2268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-12
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2629852084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology