Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | X005005-1 | NY |
NPI | 1255458378 |
---|---|
Provider Name | Dr. Michael A Silverstein |
First Address | New York, NY 10006 |
Second Address | New York, NY 10006-2503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 23/05/2012 |