Provider Demographics
NPI:1689768509
Name:MICHAEL SILANE MD PLLC
Entity Type:Organization
Organization Name:MICHAEL SILANE MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SILANE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-861-2200
Mailing Address - Street 1:1160 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1212
Mailing Address - Country:US
Mailing Address - Phone:212-861-2200
Mailing Address - Fax:212-996-4135
Practice Address - Street 1:1160 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1212
Practice Address - Country:US
Practice Address - Phone:212-861-2200
Practice Address - Fax:212-996-4135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1107802086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP3626043OtherOXFORD
NYB12446Medicare UPIN
NYWDW611Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
NYP3626043OtherOXFORD