Provider Demographics
NPI:1114243169
Name:NOOMAN SILAT, MD, PC
Entity Type:Organization
Organization Name:NOOMAN SILAT, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NOOMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SILAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-365-1039
Mailing Address - Street 1:11 EMMETT ST
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2436
Mailing Address - Country:US
Mailing Address - Phone:972-365-1039
Mailing Address - Fax:
Practice Address - Street 1:444 W MAIN ST
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-3012
Practice Address - Country:US
Practice Address - Phone:631-758-7866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-15
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty