Healthcare Provider Details

I. General information

NPI: 1003310723
Provider Name (Legal Business Name): SILVIA PLISKIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2018
Last Update Date: 03/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13422 KINSMAN RD
CLEVELAND OH
44120-4410
US

IV. Provider business mailing address

23351 CHAGRIN BLVD APT 110
BEACHWOOD OH
44122-5521
US

V. Phone/Fax

Practice location:
  • Phone: 216-283-4400
  • Fax:
Mailing address:
  • Phone: 216-283-4400
  • Fax: 216-283-5359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.0026745
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: