Provider Demographics
NPI:1659459089
Name:ZILBERSTEIN, INGA (MD)
Entity Type:Individual
Prefix:DR
First Name:INGA
Middle Name:
Last Name:ZILBERSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1317 3RD AVE
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2995
Mailing Address - Country:US
Mailing Address - Phone:212-734-0187
Mailing Address - Fax:212-327-0771
Practice Address - Street 1:1317 3RD AVE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2995
Practice Address - Country:US
Practice Address - Phone:212-734-0187
Practice Address - Fax:212-327-0771
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY173341174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY48OC11Medicare ID - Type Unspecified
NYF21253Medicare UPIN