Provider Demographics
NPI:1366078248
Name:SILVA, SADYE ARIANA (RD, CDN, IBCLC)
Entity type:Individual
Prefix:
First Name:SADYE
Middle Name:ARIANA
Last Name:SILVA
Suffix:
Gender:F
Credentials:RD, CDN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 5TH AVE APT 18E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5041
Mailing Address - Country:US
Mailing Address - Phone:956-744-9294
Mailing Address - Fax:
Practice Address - Street 1:325 5TH AVE APT 18E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5041
Practice Address - Country:US
Practice Address - Phone:956-744-9294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-23
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1058473133V00000X
L-107787174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No174N00000XOther Service ProvidersLactation Consultant, Non-RN