Provider Demographics
NPI:1427107473
Name:SILVERGLEID, RICHARD NEAL (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:NEAL
Last Name:SILVERGLEID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 7TH ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5774
Mailing Address - Country:US
Mailing Address - Phone:516-747-0161
Mailing Address - Fax:516-873-6548
Practice Address - Street 1:224 7TH ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5774
Practice Address - Country:US
Practice Address - Phone:516-747-0161
Practice Address - Fax:516-873-6548
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1537042085B0100X, 2085N0700X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00970549Medicaid
67D981Medicare ID - Type Unspecified
NYA63747Medicare UPIN