Healthcare Provider Details

I. General information

NPI: 1376475855
Provider Name (Legal Business Name): MONIQUE PRISCILA MONTEIRO DA SILVA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 E 29TH ST
BROOKLYN NY
11210-3738
US

IV. Provider business mailing address

950 E 29TH ST
BROOKLYN NY
11210-3738
US

V. Phone/Fax

Practice location:
  • Phone: 954-515-6695
  • Fax:
Mailing address:
  • Phone: 954-515-6695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberN27000
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: