Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 740 | DC |
NPI | 1043230147 |
---|---|
Provider Name | Mr. Ira N Silverstein |
First Address | Washington, DC 20037-1730 |
Second Address | Washington, DC 20037-1730 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
588531 | (02) | DC |