Healthcare Provider Details

I. General information

NPI: 1265880371
Provider Name (Legal Business Name): LAURIE SILVANO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2016
Last Update Date: 05/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

/60 ACADEMY ROAD PARSONS CHILD AND FAMILY CENTER
ALBANY NY
12208
US

IV. Provider business mailing address

6 PHEASANT RUN
VOORHEESVILLE NY
12186-9674
US

V. Phone/Fax

Practice location:
  • Phone: 518-852-5657
  • Fax: 518-447-8344
Mailing address:
  • Phone: 518-852-5657
  • Fax: 518-447-8344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number315793
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: