1861507089 NPI number — DR. RONA SUSAN SILVERTON LCSW; PH.D

Table of content: DR. RONA SUSAN SILVERTON LCSW; PH.D (NPI 1861507089)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861507089 NPI number — DR. RONA SUSAN SILVERTON LCSW; PH.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SILVERTON
Provider First Name:
RONA
Provider Middle Name:
SUSAN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
LCSW; PH.D
Provider Gender Code:
F

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:
1861507089
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/23/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
141 EAST 89TH STREET
Provider Second Line Business Mailing Address:
APT 7J
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10128-2318
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-831-4854
Provider Business Mailing Address Fax Number:
212-876-8549

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1327 LEXINGTON AVENUE
Provider Second Line Business Practice Location Address:
SUITE 1-A
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10128-1109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-831-4854
Provider Business Practice Location Address Fax Number:
212-876-8549
Provider Enumeration Date:
08/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  R014371 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: PR013047-1 , 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)





Copyright © 2007-2024 www.npivalidator.com