Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 264092 | NY |
N | 111NI0900X | Internist | 264092 | NY |
Y | 207RA0201X | Internist - Allergy & Immunology | 264092 | NY |
NPI | 1104050129 |
---|---|
Provider Name | Susanna Silverman |
First Address | New York, NY 10016-8806 |
Second Address | New York, NY 10016-8806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2009 |
Last Update Date | 04/02/2016 |