| Doctor Name: | DR. KRISTY MARIE VANACORE |
| NPI Number: | 1174685036 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 017242 |
| Business Practice Address: | 334 Underhill Ave Building 3 Yorktown Heights, NY - 105984530 |
| Business Phone Number: | 9144978006 |
| Business Fax Number: | 8885034138 |
| Mailing Address: | 334 Underhill Ave, Building 3 YORKTOWN HEIGHTS |
| State: | NY |
| Postal Code: | 105984530 |
| Phone Number: | 9144978006 |
| Fax Number: | 8885034138 |
| NPI Enumeration Date: | 12/15/2006 |
| NPI Last Update Date: | 11/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 017242 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |