| NPI | 1013158765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY H SILVER Owner 914-346-5175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NY 232881) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-10 |