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NPI Code Detail

MEDICARE: AMY SILVERMAN

MEDICARE:   AMY  SILVERMAN
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
1235Z00000XSpeech-Language PathologistSL013159NY

General Provider Information

NPI Number : 1790210243
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY SILVERMAN
Provider Business Mailing Address
First Line : 2005 FITZWATER ST
Second Line : 2F
City : PHILADELPHIA
State : PA
Zip : 19146-1332
Country : US
Telephone Number : 516-316-4467
Fax Number :
Provider Business Practice Location Address
First Line : 2005 FITZWATER ST
Second Line : 2F
City : PHILADELPHIA
State : PA
Zip : 19146-1332
Country : US
Telephone Number : 516-316-4467
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2017
Last Update Date : 04/21/2017

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