Provider Demographics
NPI:1174837124
Name:DA SILVA, TEREZINHA F (RN)
Entity Type:Individual
Prefix:MRS
First Name:TEREZINHA
Middle Name:F
Last Name:DA SILVA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2448 24TH ST # 2
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-2828
Mailing Address - Country:US
Mailing Address - Phone:718-278-3039
Mailing Address - Fax:
Practice Address - Street 1:2448 24TH ST # 2
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-2828
Practice Address - Country:US
Practice Address - Phone:718-278-3039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY627535-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY627535-1OtherRN HOME CARE PROVIDER