Healthcare Provider Details

I. General information

NPI: 1144046533
Provider Name (Legal Business Name): SILVANA NACCARATO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2024
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

528 N MAIN ST UNIT 4
PROVIDENCE RI
02904-5770
US

IV. Provider business mailing address

16 CEDAR POND DR APT 6
WARWICK RI
02886-0831
US

V. Phone/Fax

Practice location:
  • Phone: 401-276-4020
  • Fax:
Mailing address:
  • Phone: 305-753-5709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: