1326178617 NPI number — BONNIE S. SILVERMAN, M.D. P.C.

Table of content: (NPI 1326178617)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326178617 NPI number — BONNIE S. SILVERMAN, M.D. P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BONNIE S. SILVERMAN, M.D. P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326178617
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/19/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
475 TUCKAHOE RD
Provider Second Line Business Mailing Address:
STE #203
Provider Business Mailing Address City Name:
YONKERS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10710-5716
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-961-2700
Provider Business Mailing Address Fax Number:
914-961-0369

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
475 TUCKAHOE RD
Provider Second Line Business Practice Location Address:
STE #203
Provider Business Practice Location Address City Name:
YONKERS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10710-5716
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-961-2700
Provider Business Practice Location Address Fax Number:
914-961-0369
Provider Enumeration Date:
03/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SILVERMAN
Authorized Official First Name:
BONNIE
Authorized Official Middle Name:
S
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
914-961-2700

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  161959 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X , with the licence number: 161959 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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