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Organization

DR. JM DA SILVA PSYCHOLOGIST PC

Active
Parent organization
DR. JM DA SILVA PSYCHOLOGIST PC
Other names
DR. JM DA SILVA PSYCHOLOGIST PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
DR. JM DA SILVA PSYCHOLOGIST PC
Authorized official
DR. JURACI M. DA SILVA PH.D (PSYCHOLOGIST)
(917) 903-5067
Entity
Organization

Contact information

Practice address
68 LAIGHT ST APT 7, NEW YORK, NY 10013-2049
(917) 903-5067
(212) 226-7380
Mailing address
68 LAIGHT ST APT 7, NEW YORK, NY 10013-2049
(917) 903-5067
(212) 226-7380

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
018633-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S18633-8W
WORKER'S COMPENSATION, NON-FAULT
NY
Enumeration date
04/15/2013
Last updated
04/15/2013
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