MEDICARE: ADAM RICHARD SILVERS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	174858-3	NY

General Provider Information

NPI Number	:	1083618714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM RICHARD SILVERS M.D.

Provider Business Mailing Address
First Line	:	560 NORTHERN BLVD
Second Line	:	SUITE 102
City	:	GREAT NECK
State	:	NY
Zip	:	11021-5100
Country	:	US
Telephone Number	:	516-504-1600
Fax Number	:	516-504-6398

Provider Business Practice Location Address
First Line	:	560 NORTHERN BLVD
Second Line	:	STE 102
City	:	GREAT NECK
State	:	NY
Zip	:	11021-5100
Country	:	US
Telephone Number	:	516-504-1600
Fax Number	:	516-504-6398

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	08/20/2014

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