Provider Demographics
NPI:1043247646
Name:SILVERSTEIN, HARVEY (DDS)
Entity Type:Individual
Prefix:
First Name:HARVEY
Middle Name:
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:688 SHELDON AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-2645
Mailing Address - Country:US
Mailing Address - Phone:718-938-7744
Mailing Address - Fax:
Practice Address - Street 1:688 SHELDON AVENUE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-2321
Practice Address - Country:US
Practice Address - Phone:718-938-7744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031764122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist