Provider Demographics
NPI:1639165996
Name:SILVERMAN, RUBIN S (MD)
Entity Type:Individual
Prefix:DR
First Name:RUBIN
Middle Name:S
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1250 WATERS PL
Mailing Address - Street 2:STE-1207
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2720
Mailing Address - Country:US
Mailing Address - Phone:718-409-3335
Mailing Address - Fax:718-918-9778
Practice Address - Street 1:1250 WATERS PL
Practice Address - Street 2:STE-1207
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2720
Practice Address - Country:US
Practice Address - Phone:718-409-3335
Practice Address - Fax:718-918-9778
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY138633207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00781833Medicaid
NY00781833Medicaid
NY93A93Medicare PIN