Provider Demographics
NPI:1255927604
Name:ANN SILVER NUTRITION, LLC
Entity type:Organization
Organization Name:ANN SILVER NUTRITION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN, CDCES, CDN
Authorized Official - Phone:631-324-1953
Mailing Address - Street 1:PO BOX 399
Mailing Address - Street 2:
Mailing Address - City:SAG HARBOR
Mailing Address - State:NY
Mailing Address - Zip Code:11963-0008
Mailing Address - Country:US
Mailing Address - Phone:631-324-1953
Mailing Address - Fax:
Practice Address - Street 1:200 PANTIGO PL STE I
Practice Address - Street 2:
Practice Address - City:EAST HAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11937-5922
Practice Address - Country:US
Practice Address - Phone:631-324-1953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty