Healthcare Provider Details

I. General information

NPI: 1568463156
Provider Name (Legal Business Name): AKIVA YOSEF SILTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 HEMPSTEAD TPKE 500
EAST MEADOW NY
11554-1724
US

IV. Provider business mailing address

1000 10TH AVE
NEW YORK NY
10019-1147
US

V. Phone/Fax

Practice location:
  • Phone: 516-542-1090
  • Fax: 516-794-8165
Mailing address:
  • Phone: 212-523-8050
  • Fax: 212-523-8055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number227771
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: