Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 004145 | NY |
NPI | 1053379651 |
---|---|
Provider Name | Jerold Silberstein |
First Address | Brooklyn, NY 11220-2426 |
Second Address | Brooklyn, NY 11220-2426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 18/03/2010 |