Provider Demographics
NPI:1164522603
Name:SILVERMAN, BURTON (LCSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:BURTON
Middle Name:
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 MARCUS AVENUE
Mailing Address - Street 2:E128
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1038
Mailing Address - Country:US
Mailing Address - Phone:516-390-3525
Mailing Address - Fax:516-396-2195
Practice Address - Street 1:2001 MARCUS AVE
Practice Address - Street 2:E128
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-2061
Practice Address - Country:US
Practice Address - Phone:516-390-3525
Practice Address - Fax:516-396-2195
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR-032391-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR032391-1OtherSOCIAL WORK 'R' NUMBER