Provider Demographics
NPI:1437202835
Name:SILVERMAN, DAVID HOWARD
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:HOWARD
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HANCOCK DR
Mailing Address - Street 2:
Mailing Address - City:GLENMONT
Mailing Address - State:NY
Mailing Address - Zip Code:12077-3314
Mailing Address - Country:US
Mailing Address - Phone:518-475-1081
Mailing Address - Fax:
Practice Address - Street 1:250 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054-1420
Practice Address - Country:US
Practice Address - Phone:518-439-7838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4557183500000X
NY048940183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist