Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N005442 | NY |
NPI | 1063455392 |
---|---|
Provider Name | Dr. Alison Dawn Silhanek |
First Address | Medford, NY 11763-3635 |
Second Address | Medford, NY 11763-3635 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 24/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U72508 | (02) |