Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
Y | 175L00000X | Homeopath | ||
N | 225700000X | Massage Therapist | ||
N | 226300000X | Kinesiotherapist |
NPI | 1033526777 |
---|---|
Provider Name | Garis Silega |
First Address | Newark, NJ 07103-2766 |
Second Address | Newark, NJ 07103-2766 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2014 |
Last Update Date | 16/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1710177068 | NPI (01) | NJ |