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NPI Code Detail

MEDICARE: MRS. PRISCILA DE FREITAS DA SILVA MSED

MEDICARE: MRS. PRISCILA DE FREITAS DA SILVA MSED
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
1174400000XSpecialist242700081NY

General Provider Information

NPI Number : 1801147988
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PRISCILA DE FREITAS DA SILVA MSED
Provider Business Mailing Address
First Line : 1227 115TH STREET
Second Line :
City : COLLEGE POINT
State : NY
Zip : 11356-1535
Country : US
Telephone Number : 347-622-2128
Fax Number :
Provider Business Practice Location Address
First Line : 1227 115TH ST
Second Line :
City : COLLEGE POINT
State : NY
Zip : 11356-1535
Country : US
Telephone Number : 347-622-2128
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2012
Last Update Date : 09/28/2012

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