Healthcare Provider Details

I. General information

NPI: 1730154915
Provider Name (Legal Business Name): STEVEN M SILVERMAN DC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 12/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 GLEN COVE RD
ROSLYN HEIGHTS NY
11577-1732
US

IV. Provider business mailing address

14 GLEN COVE RD
ROSLYN HEIGHTS NY
11577-1732
US

V. Phone/Fax

Practice location:
  • Phone: 516-484-0776
  • Fax: 516-484-0795
Mailing address:
  • Phone: 516-484-0776
  • Fax: 516-484-0795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number003574
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX2548
License Number StateNY

VIII. Authorized Official

Name: DR. STEVEN MARK SILVERMAN
Title or Position: PRESIDENT
Credential: DC
Phone: 516-484-0776