1902193717 NPI number — MS. GLORIA DA SILVA VON OISTE LCSW

Table of content: MS. GLORIA DA SILVA VON OISTE LCSW (NPI 1902193717)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902193717 NPI number — MS. GLORIA DA SILVA VON OISTE LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VON OISTE
Provider First Name:
GLORIA
Provider Middle Name:
DA SILVA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PEREZ-SEGNINI
Provider Other First Name:
GLORIA
Provider Other Middle Name:
DA SILVA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1902193717
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/21/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
35 PURCHASE ST STE 203
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RYE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10580-3004
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-954-2309
Provider Business Mailing Address Fax Number:
914-305-3855

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
35 PURCHASE ST
Provider Second Line Business Practice Location Address:
SUITE 203
Provider Business Practice Location Address City Name:
RYE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10580-3004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-954-2309
Provider Business Practice Location Address Fax Number:
914-305-3855
Provider Enumeration Date:
06/30/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  0831631 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 083163-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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