Healthcare Provider Details

I. General information

NPI: 1194790386
Provider Name (Legal Business Name): HARRIS NORMAN SILVER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 02/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7571 STATE RT. 54 IRA DAVENPORT MEMORIAL HOSPITAL
BATH NY
14810
US

IV. Provider business mailing address

722 W WATER ST
ELMIRA NY
14905-2435
US

V. Phone/Fax

Practice location:
  • Phone: 607-776-8714
  • Fax: 607-776-8631
Mailing address:
  • Phone: 607-271-2050
  • Fax: 607-271-2099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD057822L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number114133-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: