Individual
MR. MICHAEL ROBERT SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2901 216TH ST, BAYSIDE, NY 11360-2810
(718) 281-8800
Mailing address
72 ROSEDALE RD, VALLEY STREAM, NY 11581-2802
(516) 792-6081
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
017285-1
NY
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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