Healthcare Provider Details

I. General information

NPI: 1922462076
Provider Name (Legal Business Name): SILVIA JULIANA FRANCO CORSO M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 COLUMBUS CIR FL 6
NEW YORK NY
10019-1412
US

IV. Provider business mailing address

5 COLUMBUS CIR FL 6
NEW YORK NY
10019-1412
US

V. Phone/Fax

Practice location:
  • Phone: 347-331-2665
  • Fax:
Mailing address:
  • Phone: 347-331-2665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number302585
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number302585
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: