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General NPI Number Information
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NPI Number | 1457380958
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Entity Type | Individual
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Provider Name | PRIYANI M DESILVA MD
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Gender | Female
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 80 VANDAM ST 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10013-1007
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Country | US
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Telephone | 212-366-8281
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Fax |
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Provider Business Mailing Address
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Address Line | 80 OCEAN TER STATEN ISLAND
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City | STATEN ISLAND
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State | NY
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Zip | 10314-5650
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Country | US
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Telephone | 718-698-0294
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 146145
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License Number State | NY
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