Provider Demographics
NPI:1013270263
Name:SILVA, LUZ N (MSED/TSHH)
Entity Type:Individual
Prefix:MRS
First Name:LUZ
Middle Name:N
Last Name:SILVA
Suffix:
Gender:F
Credentials:MSED/TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8060 88TH AVE
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-2406
Mailing Address - Country:US
Mailing Address - Phone:718-216-2227
Mailing Address - Fax:718-228-9475
Practice Address - Street 1:8060 88 AVE
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-2406
Practice Address - Country:US
Practice Address - Phone:718-216-2227
Practice Address - Fax:718-228-9475
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY272714031174400000X
NY2727120312355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant