| Organization Name: | CARLOS F SILVA DPM PC |
| NPI Number: | 1174793053 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARLOS F SILVA (DOCTOR) |
| Mailing Address: | 8375 Woodhaven Blvd Ste Lb4 Woodhaven |
| State: | NY US |
| Postal Code: | 114211535 |
| Phone Number: | 7188053338 |
| Fax Number: | 7184414872 |
| NPI Enumeration Date: | 03/06/2008 |
| NPI Last Update Date: | 03/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |