Provider Demographics
NPI:1366694929
Name:SILVERMAN, LAUREN SHAYNA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:SHAYNA
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 DANIEL LN
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-5309
Mailing Address - Country:US
Mailing Address - Phone:646-303-4129
Mailing Address - Fax:
Practice Address - Street 1:18 DANIEL LN
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-5309
Practice Address - Country:US
Practice Address - Phone:646-303-4129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011775225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist