Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 223190 | NY |
Y | 208000000X | Pediatrician | 034756 | CT |
NPI | 1538298757 |
---|---|
Provider Name | Dr. Stuart C Silverstein |
First Address | Stamford, CT 06905-1610 |
Second Address | Stamford, CT 06905-1610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2007 |
Last Update Date | 12/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02256242 | (05) | NY |
F13361 | (02) | NY |