Provider Demographics
NPI:1629324827
Name:SILBERBERG, DEBORAH GAIL (COMS TVI)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:GAIL
Last Name:SILBERBERG
Suffix:
Gender:F
Credentials:COMS TVI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 STORMS RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY COTTAGE
Mailing Address - State:NY
Mailing Address - Zip Code:10989-1215
Mailing Address - Country:US
Mailing Address - Phone:845-353-9660
Mailing Address - Fax:
Practice Address - Street 1:441 STORMS RD
Practice Address - Street 2:
Practice Address - City:VALLEY COTTAGE
Practice Address - State:NY
Practice Address - Zip Code:10989-1215
Practice Address - Country:US
Practice Address - Phone:845-353-9660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-25
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind
No225CX0006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorOrientation and Mobility Training Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY164125OtherNYS EARLY INTERVENTION PROGRAM