Provider Demographics
NPI:1326178617
Name:BONNIE S. SILVERMAN, M.D. P.C.
Entity Type:Organization
Organization Name:BONNIE S. SILVERMAN, M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:SILVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-961-2700
Mailing Address - Street 1:475 TUCKAHOE RD
Mailing Address - Street 2:STE #203
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-5716
Mailing Address - Country:US
Mailing Address - Phone:914-961-2700
Mailing Address - Fax:914-961-0369
Practice Address - Street 1:475 TUCKAHOE RD
Practice Address - Street 2:STE #203
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-5716
Practice Address - Country:US
Practice Address - Phone:914-961-2700
Practice Address - Fax:914-961-0369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY161959207W00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4106180001Medicare NSC