Provider Demographics
NPI:1336840164
Name:SILKOWITZ, CHRISTINE (RD, CDN)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:SILKOWITZ
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:CHRIS
Other - Middle Name:
Other - Last Name:SILKOWITZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD, CDN
Mailing Address - Street 1:STAMFORD HOSPITAL TULLY CENTER
Mailing Address - Street 2:32 STRAWBERRY HILL COURT
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902
Mailing Address - Country:US
Mailing Address - Phone:203-276-4510
Mailing Address - Fax:
Practice Address - Street 1:STAMFORD HOSPITAL TULLY CENTER
Practice Address - Street 2:32 STRAWBERRY HILL COURT
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902
Practice Address - Country:US
Practice Address - Phone:203-276-4510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT727081133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered