Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 156406 | NY |
NPI | 1003811522 |
---|---|
Provider Name | Matthew Silverman |
First Address | Brooklyn, NY 11219-5009 |
Second Address | Brooklyn, NY 11219-5009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2005 |
Last Update Date | 02/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01084055 | (05) | NY |
A61584 | (02) | NY |