Provider Demographics
NPI:1801693742
Name:SILVER, JACQUELINE ERIN (RD)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:ERIN
Last Name:SILVER
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 W 88TH ST APT 206
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-1758
Mailing Address - Country:US
Mailing Address - Phone:647-453-5321
Mailing Address - Fax:
Practice Address - Street 1:250 W 88TH ST APT 206
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-1758
Practice Address - Country:US
Practice Address - Phone:647-453-5321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86277152133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered