Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 102292-1 | NY |
NPI | 1033102322 |
---|---|
Provider Name | Dr. Evan Louis Silvi |
First Address | Bronxville, NY 10708-4937 |
Second Address | Brooklyn, NY 11209-3907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C12215 | (02) |