Provider Demographics
NPI:1639221344
Name:SILVER, GAIL R (NP)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:R
Last Name:SILVER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:535 PACING WAY
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590
Mailing Address - Country:US
Mailing Address - Phone:631-465-6334
Mailing Address - Fax:631-828-7494
Practice Address - Street 1:535 PACING WAY
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590
Practice Address - Country:US
Practice Address - Phone:631-465-6334
Practice Address - Fax:631-828-7494
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY340163363LG0600X
NYF340163363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology