Provider Demographics
NPI:1104853910
Name:SILICH, ROBERT CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CHRISTOPHER
Last Name:SILICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 5TH AVE
Mailing Address - Street 2:L-L
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0158
Mailing Address - Country:US
Mailing Address - Phone:212-472-0082
Mailing Address - Fax:212-249-2370
Practice Address - Street 1:1009 5TH AVE
Practice Address - Street 2:L-L
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0158
Practice Address - Country:US
Practice Address - Phone:212-472-0082
Practice Address - Fax:212-249-2370
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY196695208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY196695OtherNYS LICENSE
NY02828040Medicaid
NYH02693Medicare UPIN
NY196695OtherNYS LICENSE