1073523320 NPI number — WILLIAM S. SILVER MD & ERIC L. TATAR MD PC

Table of content: (NPI 1073523320)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073523320 NPI number — WILLIAM S. SILVER MD & ERIC L. TATAR MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WILLIAM S. SILVER MD & ERIC L. TATAR MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WILLIAM S. SILVER MD PC
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073523320
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/17/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2 MEDICAL PARK DR
Provider Second Line Business Mailing Address:
SUITE 14
Provider Business Mailing Address City Name:
WEST NYACK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10994-1965
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-362-3300
Provider Business Mailing Address Fax Number:
845-362-8001

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 MEDICAL PARK DR
Provider Second Line Business Practice Location Address:
SUITE 14
Provider Business Practice Location Address City Name:
WEST NYACK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10994-1965
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-362-3300
Provider Business Practice Location Address Fax Number:
845-362-8001
Provider Enumeration Date:
08/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SILVER
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
STEPHEN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
845-362-3300

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  125290 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1073523320 . This is a "NPI" identifier . This identifiers is of the category "OTHER".




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