MEDICARE: MICHAEL SILVER DC

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	111N00000X	Chiropractor	X009531	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	X009531	OTHER	NY	LICENSE

General Provider Information

NPI Number	:	1295915791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL SILVER DC

Provider Business Mailing Address
First Line	:	2632 E 21ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2941
Country	:	US
Telephone Number	:	917-589-7464
Fax Number	:	718-845-7080

Provider Business Practice Location Address
First Line	:	2632 E 21ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2941
Country	:	US
Telephone Number	:	917-589-7464
Fax Number	:	718-845-7080

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

Provider Enumeration Date	:	11/13/2007
Last Update Date	:	11/13/2007

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Directions to “ MICHAEL SILVER DC” Practice Location

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