Provider Demographics
NPI:1114420973
Name:ROSS, SILVIA CAROLINA (MS,RDN,CDN)
Entity Type:Individual
Prefix:MRS
First Name:SILVIA
Middle Name:CAROLINA
Last Name:ROSS
Suffix:
Gender:F
Credentials:MS,RDN,CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-1026
Mailing Address - Country:US
Mailing Address - Phone:561-843-5083
Mailing Address - Fax:914-923-4841
Practice Address - Street 1:131 ORCHARD RD
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-1026
Practice Address - Country:US
Practice Address - Phone:561-843-5083
Practice Address - Fax:914-923-4841
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-16
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86020094133V00000X
NY008982-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered