Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | X010199 | NY |
NPI | 1013099159 |
---|---|
Provider Name | Dr. Marisa Rachel Silver |
First Address | Syosset, NY 11791-4436 |
Second Address | Syosset, NY 11791-4436 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 11/04/2008 |