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NPI Code Detail

MEDICARE: AVIVA SHILIAN

MEDICARE:   AVIVA  SHILIAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker127111-01NY

General Provider Information

NPI Number : 1316804917
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVIVA SHILIAN
Provider Business Mailing Address
First Line : 1005 E 19TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-3804
Country : US
Telephone Number : 347-419-3652
Fax Number :
Provider Business Practice Location Address
First Line : 1005 E 19TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-3804
Country : US
Telephone Number : 347-419-3652
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “ AVIVA SHILIAN ” Practice Location

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