Audrey H Desilva
MD | Pediatrics | Female
Audrey H Desilva, MD is a Ithaca, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Audrey H Desilva is
10 Graham Rd W, Ithaca, New York - 14850-1055. She can be contacted on phone at
607-257-2188 and fax number 607-266-7341.
Audrey H Desilva is a sole proprietor of her business.
NPI number (Unique professional ID) for Audrey H Desilva is
1356323133 which was assigned by NPPES on 16 Nov, 2005 and it was last updated on 08 Jul, 2007.
Audrey H Desilva license number is
211165 for Pediatrics (208000000X) in New York.
Audrey H Desilva is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Audrey H Desilva basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Audrey H Desilva |
|---|
| Credential : | MD |
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| Gender : | Female |
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Business Address:
Audrey H Desilva address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 10 Graham Rd W
Ithaca, NY, 14850-1055
United States |
|---|
| Phone Number : | 607-257-2188 |
|---|
| Fax Number : | 607-266-7341 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1356323133 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Nov, 2005 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Audrey H Desilva are as mentioned. Primary taxonomy code for Audrey H Desilva, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 211165 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Audrey H Desilva such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 5677620 | Other | | AETNA MANAGED CHOICE |
| V018315 | Other | | TRICARE |
| 01868340 | MEDICAID | NY | |
| 000910782001 | Other | | HEALTHNOW |
| 6477 | Other | NY | TOTAL CARE/MANAGED MA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 10 Graham Rd W
Ithaca, NY, 14850-1055
United States |
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| Phone Number : | 607-257-2188 |
|---|
| Fax Number : | 607-266-7341 |
|---|
Business Location:
Patients can refer following map for directions to
Audrey H Desilva practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.