Basic Information
| Provider Information | |||||||||
| NPI: | 1457391914 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SILVERMAN | ||||||||
| FirstName: | PHILIP | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2800 MARCUS AVE | ||||||||
| Address2: | |||||||||
| City: | NEW HYDE PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 110421113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5166226000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 970 N BROADWAY | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | YONKERS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 107011309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9149691600 | ||||||||
| FaxNumber: | 9149691685 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2006 | ||||||||
| LastUpdateDate: | 09/03/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0001X | 149629 | NY | Y | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology |
ID Information
| ID | Type | State | Issuer | Description | 000308200202 | 01 | NY | HEALTH PLUS (BRONX) | OTHER | 01287750 | 05 | NY | MEDICAID | SP9629 | 01 | NY | ATLANTIS HEALTH PROV. # | OTHER | 1283053 | 01 | NY | AETNA HMO # | OTHER | 2524E2 (BLO) | 01 | NY | EMPIRE BCBS SENIOR PLAN | OTHER | 397497 | 01 | NY | TACONIC IPA PROVIDER # | OTHER | 4584673 | 01 | NY | AETNA OTHER # | OTHER | 000308200201 | 01 | NY | HEALTH PLUS (YNKERS) | OTHER | 2524E1 (RHO) | 01 | NY | EMPIRE BCBS SENIOR PLAN | OTHER |