Provider Demographics
NPI:1134213036
Name:SILANE, MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:SILANE
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 1:1160 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1212
Mailing Address - Country:US
Mailing Address - Phone:212-861-2200
Mailing Address - Fax:212-996-4135
Practice Address - Street 1:1160 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1212
Practice Address - Country:US
Practice Address - Phone:212-861-2200
Practice Address - Fax:212-996-4135
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1107802086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY295351OtherBLUE CROSS BLUE SHIELD
NY00636195Medicaid
NYP393182OtherOXFORD
NY00636195Medicaid
NYB12446Medicare UPIN
NY295351Medicare ID - Type UnspecifiedPROVIDER