Provider Demographics
NPI:1982224309
Name:GOLDSTEIN, SILVI C (BA)
Entity Type:Individual
Prefix:
First Name:SILVI
Middle Name:C
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 VERNON ST # 1
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-3050
Mailing Address - Country:US
Mailing Address - Phone:702-882-2745
Mailing Address - Fax:
Practice Address - Street 1:279 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-2320
Practice Address - Country:US
Practice Address - Phone:702-882-2745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-26
Last Update Date:2020-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program