Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 2358 | NY |
NPI | 1487620977 |
---|---|
Provider Name | Dr. Martin B Silverman |
First Address | New Rochelle, NY 10804-2808 |
Second Address | New Rochelle, NY 10804-2808 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 24/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00415445 | (05) | NY |
T50734 | (02) | ND |