Provider Demographics
NPI:1396047924
Name:SZILVA, LYDIA T (CRNA)
Entity type:Individual
Prefix:MRS
First Name:LYDIA
Middle Name:T
Last Name:SZILVA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:LYDIA
Other - Middle Name:
Other - Last Name:SANTOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:2450 ORCHARD VIEW CT
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-3796
Mailing Address - Country:US
Mailing Address - Phone:203-509-2712
Mailing Address - Fax:
Practice Address - Street 1:400 MAIN STREET
Practice Address - Street 2:ANESTHESIOLOGY
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549
Practice Address - Country:US
Practice Address - Phone:914-666-1487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-02
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY564891367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered