Provider Information for 1164056057
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SCOTT ERIC SILVER LCSW
Sex: Male
NPI: 1164056057
Last Updated: 2023-05-15
Certification Date: 2023-05-15
Certification Date: 2023-05-15
Details
Name | Value | ||||||||||||
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NPI | 1164056057 | ||||||||||||
Enumeration Date | 2020-02-28 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 2350 BROADWAY APT 725 NEW YORK, NY 10024-3214 United States Phone: 516-647-0500 | Fax: | ||||||||||||
Primary Practice Address | 2350 BROADWAY APT 725 NEW YORK, NY 10024-3214 United States Phone: 917-716-7332 | Fax: | ||||||||||||
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