Provider Demographics
NPI:1851938575
Name:GARCIA, ALAN SILVA
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:SILVA
Last Name:GARCIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-4783
Mailing Address - Country:US
Mailing Address - Phone:718-585-9800
Mailing Address - Fax:718-585-9700
Practice Address - Street 1:675 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-4783
Practice Address - Country:US
Practice Address - Phone:718-585-9800
Practice Address - Fax:718-585-9700
Is Sole Proprietor?:No
Enumeration Date:2019-12-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031228225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist