Healthcare Provider Details

I. General information

NPI: 1790640373
Provider Name (Legal Business Name): ANDREA L SILVER CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 HILL AVE
NESCONSET NY
11767-3018
US

IV. Provider business mailing address

36 HILL AVE
NESCONSET NY
11767-3018
US

V. Phone/Fax

Practice location:
  • Phone: 347-981-2786
  • Fax:
Mailing address:
  • Phone: 347-981-2786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number028692
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: