MEDICARE: AGNES T. SILVA R.N.

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
1	163W00000X	Registered Nurse	469897-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578684015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AGNES T. SILVA R.N.

Provider Business Mailing Address
First Line	:	3013 GOMER ST
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-2723
Country	:	US
Telephone Number	:	914-245-4662
Fax Number	:

Provider Business Practice Location Address
First Line	:	3013 GOMER ST
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-2723
Country	:	US
Telephone Number	:	914-245-4662
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	07/08/2007

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