Provider Demographics
NPI:1033102322
Name:SILVI, EVAN LOUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:EVAN
Middle Name:LOUIS
Last Name:SILVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 PONDFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-4937
Mailing Address - Country:US
Mailing Address - Phone:914-961-7752
Mailing Address - Fax:
Practice Address - Street 1:7902 4TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3907
Practice Address - Country:US
Practice Address - Phone:718-748-2550
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102292-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C12215Medicare UPIN
844801Medicare ID - Type Unspecified