Provider Demographics
NPI:1023370194
Name:SILBERMAN, BILL SCOTT (EMT)
Entity Type:Individual
Prefix:MR
First Name:BILL
Middle Name:SCOTT
Last Name:SILBERMAN
Suffix:
Gender:M
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2131 ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11509-1002
Mailing Address - Country:US
Mailing Address - Phone:516-967-7778
Mailing Address - Fax:
Practice Address - Street 1:2131 ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:ATLANTIC BEACH
Practice Address - State:NY
Practice Address - Zip Code:11509-1002
Practice Address - Country:US
Practice Address - Phone:516-967-7778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY387111146N00000X
343800000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No347C00000XTransportation ServicesPrivate Vehicle