Provider Demographics
NPI:1104485176
Name:SILVERGLEID RADIOLOGY SERVICES, PC
Entity type:Organization
Organization Name:SILVERGLEID RADIOLOGY SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERGLEID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-426-8842
Mailing Address - Street 1:51 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6753
Mailing Address - Country:US
Mailing Address - Phone:516-426-8842
Mailing Address - Fax:
Practice Address - Street 1:51 W 95TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6753
Practice Address - Country:US
Practice Address - Phone:516-426-8842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology