Audrey H Desilva is a Pediatrics in Ithaca, New York. Audrey H Desilva practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Audrey H Desilva is 1356323133. The last update date is 2007-07-08.
Audrey H Desilva's current location address is 10 Graham Rd W, Ithaca, New York. You can contact this provider via phone number 6072572188 and fax number 6072667341. The mailing address for Audrey H Desilva is 10 Graham Rd W, Ithaca, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Audrey H Desilva |
|---|---|
| Address | 10 Graham Rd W, Ithaca, New York |
| Phone Number | 6072572188 |
| Fax Number | 6072667341 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356323133 |
|---|---|
| Provider Enumeration Date | 2005-11-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10 Graham Rd W |
|---|---|
| City | Ithaca |
| State | New York (NY) |
| Post Code | 148501055 |
| Phone Number | 6072572188 |
| Fax Number | 6072667341 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 211165 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| V018315 | TRICARE | ||
| 910782001 | HEALTHNOW | ||
| 5677620 | AETNA MANAGED CHOICE | ||
| 6477 | NY | TOTAL CARE/MANAGED MA | |
| 1868340 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Audrey H Desilva by the Centers for Medicare & Medicaid Services (CMS)?
The Audrey H Desilva has been assigned the NPI (National Provider Identifier) 1356323133. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Audrey H Desilva is located?
The Audrey H Desilva is situated at the following address: 10 Graham Rd W, Ithaca, NY, 148501055.
What is Audrey H Desilva's area of expertise and its corresponding taxonomy classification?
The Audrey H Desilva's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.
When did the Audrey H Desilva receive its 1356323133?
The Audrey H Desilva was issued its 1356323133 on 2005-11-16, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Audrey H Desilva most recently updated or revised?
The details related to Audrey H Desilva, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.