Provider Demographics
NPI:1073523320
Name:WILLIAM S. SILVER MD & ERIC L. TATAR MD PC
Entity Type:Organization
Organization Name:WILLIAM S. SILVER MD & ERIC L. TATAR MD PC
Other - Org Name:WILLIAM S. SILVER MD PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-362-3300
Mailing Address - Street 1:2 MEDICAL PARK DR
Mailing Address - Street 2:SUITE 14
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-1965
Mailing Address - Country:US
Mailing Address - Phone:845-362-3300
Mailing Address - Fax:845-362-8001
Practice Address - Street 1:2 MEDICAL PARK DR
Practice Address - Street 2:SUITE 14
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-1965
Practice Address - Country:US
Practice Address - Phone:845-362-3300
Practice Address - Fax:845-362-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY125290207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1073523320OtherNPI
1073523320OtherNPI
NYWRP111Medicare UPIN
NYI56513Medicare UPIN
NYWRP111Medicare UPIN