Provider Demographics
NPI:1144759713
Name:ANGELICA SILIVRIA DDS P.C.
Entity Type:Organization
Organization Name:ANGELICA SILIVRIA DDS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILIVRIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:414-324-3242
Mailing Address - Street 1:1800 OCEAN PKWY APT D3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-3028
Mailing Address - Country:US
Mailing Address - Phone:414-324-3242
Mailing Address - Fax:
Practice Address - Street 1:205 WEST END AVE
Practice Address - Street 2:SUITE 1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:646-414-6238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-07
Last Update Date:2017-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0563691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty