Provider Demographics
NPI:1932846011
Name:SILAS, ANJANETTE (BA, BSN, RN, CD, CLC)
Entity type:Individual
Prefix:
First Name:ANJANETTE
Middle Name:
Last Name:SILAS
Suffix:
Gender:F
Credentials:BA, BSN, RN, CD, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 GRIDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10303-2203
Mailing Address - Country:US
Mailing Address - Phone:646-397-8066
Mailing Address - Fax:
Practice Address - Street 1:25 GRIDLEY AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10303-2203
Practice Address - Country:US
Practice Address - Phone:646-397-8066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
Provider Identifiers
StateIdentifier IDID TypeIssuer
338442OtherACADEMY OF LACTATION POLICY AND PRACTICE
NY605764OtherNEW YORK STATE EDUCATION DEPARTMENT