Provider Demographics
NPI:1366778904
Name:SVOYSKAYA, ANNA (MS)
Entity type:Individual
Prefix:MISS
First Name:ANNA
Middle Name:
Last Name:SVOYSKAYA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 BRIGHTON 5TH ST APT 4F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6834
Mailing Address - Country:US
Mailing Address - Phone:917-407-4180
Mailing Address - Fax:
Practice Address - Street 1:2911 BRIGHTON 5TH ST
Practice Address - Street 2:APT 4F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6858
Practice Address - Country:US
Practice Address - Phone:917-407-4180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-01
Last Update Date:2009-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1904641103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst