Provider Demographics
NPI:1831476647
Name:SILVA, MONICA ALEXANDRA (NP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:ALEXANDRA
Last Name:SILVA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 BAY AVE
Mailing Address - Street 2:
Mailing Address - City:EAST MORICHES
Mailing Address - State:NY
Mailing Address - Zip Code:11940-1209
Mailing Address - Country:US
Mailing Address - Phone:631-878-1543
Mailing Address - Fax:866-874-2559
Practice Address - Street 1:41 BAY AVE
Practice Address - Street 2:
Practice Address - City:EAST MORICHES
Practice Address - State:NY
Practice Address - Zip Code:11940-1209
Practice Address - Country:US
Practice Address - Phone:631-462-2200
Practice Address - Fax:866-852-5985
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY614896163W00000X
NYF339065363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse