Provider Demographics
NPI:1669928487
Name:PARSONS, ANASTASIA CANTONIS (MED, NCC)
Entity type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:CANTONIS
Last Name:PARSONS
Suffix:
Gender:F
Credentials:MED, NCC
Other - Prefix:
Other - First Name:ANASTASIA
Other - Middle Name:MARIA
Other - Last Name:CANTONIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, NCC
Mailing Address - Street 1:117 E 77TH ST
Mailing Address - Street 2:APT 6D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1821
Mailing Address - Country:US
Mailing Address - Phone:727-515-4285
Mailing Address - Fax:
Practice Address - Street 1:750 TILDEN ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-6013
Practice Address - Country:US
Practice Address - Phone:718-231-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist