Provider Demographics
NPI:1043532443
Name:DA SILVA MARIANO, ANA MARIA (SOCIAL WORKER)
Entity type:Individual
Prefix:MS
First Name:ANA MARIA
Middle Name:
Last Name:DA SILVA MARIANO
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 KNICKERBOCKER RD N
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-2627
Mailing Address - Country:US
Mailing Address - Phone:631-806-3700
Mailing Address - Fax:
Practice Address - Street 1:85 KNICKERBOCKER RD N
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-2627
Practice Address - Country:US
Practice Address - Phone:631-806-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-25
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0530061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical