Individual
ADRIANA MELISSA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
320 CARLETON AVE, CENTRAL ISLIP, NY 11722-4506
(631) 663-4310
(631) 439-4066
Mailing address
36 OWENS ST, BRENTWOOD, NY 11717-6618
(631) 835-7641
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
100995
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528093242
—
NY
Enumeration date
05/09/2018
Last updated
05/09/2018
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