Provider Demographics
NPI:1336307503
Name:SILVERSTEIN, DEBRA JOY (MA, ATR-BC, LCAT)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:JOY
Last Name:SILVERSTEIN
Suffix:
Gender:F
Credentials:MA, ATR-BC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-2124
Mailing Address - Country:US
Mailing Address - Phone:845-360-6654
Mailing Address - Fax:
Practice Address - Street 1:634 LITTLE BRITAIN RD
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-6188
Practice Address - Country:US
Practice Address - Phone:845-857-5374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05-000989174400000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No174400000XOther Service ProvidersSpecialist