Provider Demographics
NPI:1295892958
Name:SILAGY, Z STEPHEN (OD)
Entity type:Individual
Prefix:DR
First Name:Z
Middle Name:STEPHEN
Last Name:SILAGY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 MAGNOLIA RD
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-1129
Mailing Address - Country:US
Mailing Address - Phone:914-762-0311
Mailing Address - Fax:
Practice Address - Street 1:21 MAGNOLIA RD
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-1129
Practice Address - Country:US
Practice Address - Phone:914-762-0311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV003406-1152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00507722Medicaid
NYT81469Medicare UPIN
NY00507722Medicaid