Rhonaldo Agung Silaban
Emergency Physician
110 W 6th St
Oswego
, New York 13126-2507
Rhonaldo Agung Silaban
Emergency Physician
110 W 6th St
Oswego
, New York 13126-2507
(310) 873-7455
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Rhonaldo Agung Silaban
- 615 James St - B04
- Syracuse, NY
- Zip : 13210-2306
- Phone : (310) 873-7455
Second Address
- Rhonaldo Agung Silaban
- 110 W 6th St
- Oswego, NY
- Zip : 13126-2507
- Phone : (315) 349-5511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 288385 | NY |
| N | 207P00000X | Emergency Physician | MD461120 | PA |
National Provider Identifier
| NPI | 1013327741 |
|---|---|
| Provider Name | Rhonaldo Agung Silaban |
| First Address | Syracuse, NY 13210-2306 |
| Second Address | Oswego, NY 13126-2507 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2014 |
| Last Update Date | 12/02/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.