Provider Demographics
NPI:1598963852
Name:SILVERMAN, ADAM T (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:T
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 FAIRMONT AVE
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-2409
Mailing Address - Country:US
Mailing Address - Phone:845-454-6392
Mailing Address - Fax:845-454-6393
Practice Address - Street 1:21 FAIRMONT AVE
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-2409
Practice Address - Country:US
Practice Address - Phone:845-454-6392
Practice Address - Fax:845-454-6393
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY266089208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400082435OtherMEDICARE PTAN
NY03530687Medicaid