Provider Demographics
NPI:1013096361
Name:SILVERMAN, GERALD M (DC)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:M
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 TOWNLINE RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-2827
Mailing Address - Country:US
Mailing Address - Phone:631-265-0990
Mailing Address - Fax:631-724-6781
Practice Address - Street 1:523 TOWNLINE RD
Practice Address - Street 2:SUITE 7
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2827
Practice Address - Country:US
Practice Address - Phone:631-265-0990
Practice Address - Fax:631-724-6781
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX-2303111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor