Provider Demographics
NPI:1609143932
Name:DE SANCTIS, VIRGINIA ANN (PHD)
Entity type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:ANN
Last Name:DE SANCTIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:311 KENT RD
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:CT
Mailing Address - Zip Code:06757-1412
Mailing Address - Country:US
Mailing Address - Phone:516-633-4812
Mailing Address - Fax:
Practice Address - Street 1:344 E MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3036
Practice Address - Country:US
Practice Address - Phone:914-355-8904
Practice Address - Fax:914-828-0064
Is Sole Proprietor?:No
Enumeration Date:2011-12-01
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019518103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist