Healthcare Provider Details

I. General information

NPI: 1114975091
Provider Name (Legal Business Name): RICHARD ALAN SILVERMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HUDSON VALLEY VA RT 9A
MONTROSE NY
10458
US

IV. Provider business mailing address

PO BOX 100
MONTROSE NY
10458
US

V. Phone/Fax

Practice location:
  • Phone: 914-737-4400
  • Fax:
Mailing address:
  • Phone: 914-737-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number133719
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: