Individual
SILAS NWAISHIENYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
167 EVERGREEN DR, WESTBURY, NY 11590-1208
(516) 610-8704
Mailing address
167 EVERGREEN DR, WESTBURY, NY 11590-1208
(516) 610-8704
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
243375
NY
207QA0505X
Adult Medicine Physician
Primary
243375
NY
Other
Enumeration date
03/30/2007
Last updated
06/22/2013
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