Provider Demographics
NPI:1326240284
Name:DA SILVA, ANNETTE CHRISTINA (DO)
Entity Type:Individual
Prefix:DR
First Name:ANNETTE
Middle Name:CHRISTINA
Last Name:DA SILVA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 BERGEN AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-3324
Mailing Address - Country:US
Mailing Address - Phone:201-681-1800
Mailing Address - Fax:888-485-0001
Practice Address - Street 1:206 BERGEN AVE STE 203
Practice Address - Street 2:
Practice Address - City:KEARNY
Practice Address - State:NJ
Practice Address - Zip Code:07032-3324
Practice Address - Country:US
Practice Address - Phone:201-681-1800
Practice Address - Fax:888-485-0001
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYA209768-1208100000X
NJ25MB07296400208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ9717849OtherGHI
NJ055088Medicare ID - Type Unspecified
NJ9717849OtherGHI
NYH27997Medicare UPIN