MEDICARE: NICHOLAS SILAO CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	26NR08985200	NJ
2	367500000X	Certified Registered Nurse Anesthetist	343627	NY

General Provider Information

NPI Number	:	1629120936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS SILAO CRNA

Provider Business Mailing Address
First Line	:	24 CENTRAL PARK S
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-1629
Country	:	US
Telephone Number	:	917-597-0082
Fax Number	:	212-629-9330

Provider Business Practice Location Address
First Line	:	38 W 32ND ST
Second Line	:	SUITE 1200
City	:	NEW YORK
State	:	NY
Zip	:	10001-3816
Country	:	US
Telephone Number	:	212-629-8181
Fax Number	:	212-629-9330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	07/08/2007

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Directions to “ NICHOLAS SILAO CRNA” Practice Location

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