Individual
DR. ANTONIO SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 LENNOX DR, BINGHAMTON, NY 13903-1314
(607) 724-2854
Mailing address
22 LENNOX DR, BINGHAMTON, NY 13903-1314
(607) 724-2854
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
100501
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00373051
—
NY
Enumeration date
09/25/2006
Last updated
07/08/2007
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