Provider Demographics
NPI:1609874916
Name:SILVERBERG, LAWRENCE (DPM)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:
Last Name:SILVERBERG
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:MR
Other - First Name:LAWRENCE
Other - Middle Name:
Other - Last Name:SILVERBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:20 EAST 46TH ST
Mailing Address - Street 2:200
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-9287
Mailing Address - Country:US
Mailing Address - Phone:212-871-0800
Mailing Address - Fax:206-203-3026
Practice Address - Street 1:20 EAST 46TH ST
Practice Address - Street 2:200
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-9287
Practice Address - Country:US
Practice Address - Phone:212-871-0800
Practice Address - Fax:206-203-3026
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2020-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005652213ES0103X
NYN005652-1213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU73943Medicare UPIN
NYPB7392Medicare UPIN