Provider Demographics
NPI:1164793675
Name:SILK-EGLIT, MAUREEN TERESA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:TERESA
Last Name:SILK-EGLIT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6456 VOSBURGH RD
Mailing Address - Street 2:
Mailing Address - City:ALTAMONT
Mailing Address - State:NY
Mailing Address - Zip Code:12009-3802
Mailing Address - Country:US
Mailing Address - Phone:518-355-7126
Mailing Address - Fax:
Practice Address - Street 1:8 REGINA DR
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12303-5409
Practice Address - Country:US
Practice Address - Phone:518-355-7930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-16
Last Update Date:2012-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR02354911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical