Provider Demographics
NPI:1821254574
Name:SILVERS-KAHOUD, STACILYN (OT)
Entity Type:Individual
Prefix:MS
First Name:STACILYN
Middle Name:
Last Name:SILVERS-KAHOUD
Suffix:
Gender:F
Credentials:OT
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Mailing Address - Street 1:5800 3RD AVE
Mailing Address - Street 2:LUTHERAN MEDICAL CENTER MANAGED CARE
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3702
Mailing Address - Country:US
Mailing Address - Phone:718-630-7477
Mailing Address - Fax:718-630-7437
Practice Address - Street 1:230 60TH ST
Practice Address - Street 2:LUTHERAN MEDICAL CENTER-CENTER FOR CHILD DEVELOPMENT
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3712
Practice Address - Country:US
Practice Address - Phone:718-439-5600
Practice Address - Fax:718-439-5633
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY013508225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist