Provider Demographics
NPI:1548273857
Name:SILFEN, SHELLEY G (RPA)
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:G
Last Name:SILFEN
Suffix:
Gender:F
Credentials:RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:517 OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-2911
Mailing Address - Country:US
Mailing Address - Phone:718-273-9332
Mailing Address - Fax:718-226-9955
Practice Address - Street 1:475 SEAVIEW AVE
Practice Address - Street 2:SI UNIV HOSPITAL REHAB MEDICINE
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-3436
Practice Address - Country:US
Practice Address - Phone:718-226-9463
Practice Address - Fax:718-226-9955
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0005091363A00000X
NJ25MP00151800363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant