Provider Demographics
NPI:1821056573
Name:SILBER, MICHAEL S (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:S
Last Name:SILBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 N MAPLEMERE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3178
Mailing Address - Country:US
Mailing Address - Phone:716-836-4646
Mailing Address - Fax:716-836-4696
Practice Address - Street 1:111 N MAPLEMERE RD STE 120
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-3178
Practice Address - Country:US
Practice Address - Phone:716-836-4646
Practice Address - Fax:716-836-4696
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2109532085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000916799010OtherBLUE SHIELD WNY
0142101OtherGHI
P00005724OtherRR MEDICARE
P020210953OtherROCHESTER BLUE SHIELD
040426003068OtherFIDELIS
4105395OtherGHI
000916799013OtherBLUE SHIELD WNY
2109536BOtherWORKERS COMPENSATION
NY09941643Medicaid
P010210953OtherBLUE CHOICE
101773FFOtherPREFERRED CARE
1693154OtherINDEPENDENT HEALTH
00040939302OtherUNIVERA
00040939304OtherUNIVERA
4105395OtherGHI
DD4879Medicare ID - Type Unspecified