Provider Demographics
NPI:1831879634
Name:SILVA, JOLEEN (CAT)
Entity type:Individual
Prefix:
First Name:JOLEEN
Middle Name:
Last Name:SILVA
Suffix:
Gender:F
Credentials:CAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3443 82ND ST APT 41
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-2920
Mailing Address - Country:US
Mailing Address - Phone:516-242-1995
Mailing Address - Fax:
Practice Address - Street 1:3704 91ST ST FL 2
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7914
Practice Address - Country:US
Practice Address - Phone:347-730-4249
Practice Address - Fax:347-730-4216
Is Sole Proprietor?:No
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist