Provider Demographics
NPI:1174657183
Name:CHIN, SILVANA (MS OTRL)
Entity Type:Individual
Prefix:MS
First Name:SILVANA
Middle Name:
Last Name:CHIN
Suffix:
Gender:F
Credentials:MS OTRL
Other - Prefix:
Other - First Name:SILVANA
Other - Middle Name:
Other - Last Name:PORTELA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SILVANA CHIN
Mailing Address - Street 1:22082B 64TH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2241
Mailing Address - Country:US
Mailing Address - Phone:347-235-4712
Mailing Address - Fax:
Practice Address - Street 1:6115 OCEANIA ST
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-2139
Practice Address - Country:US
Practice Address - Phone:917-497-2694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014422-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist