Provider Demographics
NPI:1659676625
Name:NANETTE B. SILVERBERG, MD, PLLC
Entity Type:Organization
Organization Name:NANETTE B. SILVERBERG, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-332-0270
Mailing Address - Street 1:770 OCEAN PKWY APT 6F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-2158
Mailing Address - Country:US
Mailing Address - Phone:718-332-0270
Mailing Address - Fax:718-332-1318
Practice Address - Street 1:2839 BRIGHTON 7TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5203
Practice Address - Country:US
Practice Address - Phone:718-332-0270
Practice Address - Fax:718-332-1318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-21
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY202174261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1316933740OtherNPI
NY10U291Medicare UPIN