Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | C03018 | NY |
NPI | 1245486380 |
---|---|
Provider Name | Dr. Gary Allen Silverberg |
First Address | Levittown, NY 11756-3446 |
Second Address | Levittown, NY 11756-3446 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2008 |
Last Update Date | 08/08/2008 |