Basic Information
Provider Information
NPI: 1114975091
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SILVERMAN
FirstName: RICHARD
MiddleName: ALAN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 100
Address2:  
City: MONTROSE
State: NY
PostalCode: 10458
CountryCode: US
TelephoneNumber: 9147374400
FaxNumber:  
Practice Location
Address1: HUDSON VALLEY VA
Address2: RT 9A
City: MONTROSE
State: NY
PostalCode: 10458
CountryCode: US
TelephoneNumber: 9147374400
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/04/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X133719NYY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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