Individual
DR. CARLOS FREDY SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
83-75 WOODHAVEN BLVD, # LB4, WOODHAVEN, NY 11421-1535
(718) 805-3338
(718) 441-4872
Mailing address
83-75 WOODHAVEN BLVD, # LB4, WOODHAVEN, NY 11421-1535
(718) 805-3338
(718) 441-4872
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N004464
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01094664
—
NY
01
—
164299
ELDERPLAN
NY
01
—
36909P
HIP
NY
01
—
P1884071
OXFORD MEDICARE ID
NY
Enumeration date
11/20/2006
Last updated
04/22/2024
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