Individual
ALAN JOHN SILVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
630 W 168TH ST # MC28, NEW YORK, NY 10032-3725
(212) 305-1948
(212) 305-5777
Mailing address
630 W 168TH ST # MC28, NEW YORK, NY 10032-3725
(212) 305-1948
(212) 305-5777
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
123745-1
NY
2085R0202X
Diagnostic Radiology Physician
123745-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00428515
—
NY
01
—
02186203
MEDICAID GROUP #
NY
01
—
W35021
MEDICARE GROUP #
NY
Enumeration date
07/07/2006
Last updated
09/08/2010
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