Provider Demographics
NPI:1598403339
Name:SILVERBERG, ERIKA (DMD)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:SILVERBERG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 GLEN COVE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1729
Mailing Address - Country:US
Mailing Address - Phone:516-484-2111
Mailing Address - Fax:
Practice Address - Street 1:70 GLEN COVE RD STE 104
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-1729
Practice Address - Country:US
Practice Address - Phone:516-484-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D102896800122300000X
NY0625871223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist