Provider Demographics
NPI:1174793053
Name:CARLOS F SILVA DPM PC
Entity type:Organization
Organization Name:CARLOS F SILVA DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:F
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-805-3338
Mailing Address - Street 1:8375 WOODHAVEN BLVD STE LB4
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-1535
Mailing Address - Country:US
Mailing Address - Phone:718-805-3338
Mailing Address - Fax:718-441-4872
Practice Address - Street 1:8375 WOODHAVEN BLVD STE LB4
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-1535
Practice Address - Country:US
Practice Address - Phone:718-805-3338
Practice Address - Fax:718-441-4872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1237850001Medicare NSC