Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 1696941 | NY |
N | 2081P2900X | Pain Medicine | 1696941 | NY |
NPI | 1053377796 |
---|---|
Provider Name | Russell Howard Silver |
First Address | New York, NY 10021-3235 |
Second Address | New York, NY 10021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 06/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
607393300 | (05) | NM |
E20496 | (02) | NY |