Provider Demographics
NPI:1174649776
Name:OLARTE, SILVIA L WYBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:SILVIA L
Middle Name:WYBERT
Last Name:OLARTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 EAST 83 STREET
Mailing Address - Street 2:9D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0446
Mailing Address - Country:US
Mailing Address - Phone:212-249-6246
Mailing Address - Fax:212-249-7273
Practice Address - Street 1:25 EAST 83 STREET
Practice Address - Street 2:APT 9D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0446
Practice Address - Country:US
Practice Address - Phone:212-249-6246
Practice Address - Fax:212-249-7273
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYMD1180822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
B12158Medicare UPIN
28D08100SOMedicare ID - Type Unspecified