Organization
SNFPSYCHPROVIDER LLC
Active
Other names
SNFPSYCHPROVIDER.COM, snf psych provider
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS SILAO CRNA, MA, APN (DIRECTOR)
(917) 597-0082
Entity
Organization
Contact information
Practice address
751 BERGEN AVE STE 100, JERSEY CITY, NJ 07306-4705
(201) 687-7167
(201) 653-0917
Mailing address
751 BERGEN AVE STE 100, JERSEY CITY, NJ 07306-4705
(201) 687-7167
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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