SILVER LAKE MEDICAL PLLC

STATEN ISLAND, NY
NPI1760672620
Entity TypeOrganization
Authorized ContactKENNETH PICKOVER
Member
718-556-3900
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  164175)
Enumeration Date2007-07-26
Last Update Date2007-07-27
Business Address
SILVER LAKE MEDICAL PLLC
59 REVERE ST SUITE A
STATEN ISLAND, NY 10301-3415
Phone number: 718-556-3900
Mailing Address
SILVER LAKE MEDICAL PLLC
59 REVERE ST SUITE A
STATEN ISLAND, NY 10301-3415
Phone number: 718-556-3900
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