Healthcare Provider Details
I. General information
NPI: 1114719879
Provider Name (Legal Business Name): JULIE ANN SILINSKIE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/20/2025
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 LACKAWANNA AVE STE 200
SCRANTON PA
18503-2001
US
IV. Provider business mailing address
2100 MACK BLVD FL 4
ALLENTOWN PA
18103-5622
US
V. Phone/Fax
- Phone: 570-342-7864
- Fax:
- Phone: 484-884-4500
- Fax: 484-884-0699
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: