Provider Demographics
NPI:1164173480
Name:SILVESTRI, KYLE ANDREW (RN)
Entity Type:Individual
Prefix:MR
First Name:KYLE
Middle Name:ANDREW
Last Name:SILVESTRI
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 NEW GATE DR
Mailing Address - Street 2:
Mailing Address - City:HENRIETTA
Mailing Address - State:NY
Mailing Address - Zip Code:14467-9514
Mailing Address - Country:US
Mailing Address - Phone:716-982-3562
Mailing Address - Fax:
Practice Address - Street 1:990 SOUTH AVE STE 207
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-2762
Practice Address - Country:US
Practice Address - Phone:585-341-6775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY741215163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care