Provider Demographics
NPI:1679555106
Name:SILVERSTEIN, STEVEN B (DPM)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:B
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 ORCHARD ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511
Mailing Address - Country:US
Mailing Address - Phone:203-624-1516
Mailing Address - Fax:203-288-1858
Practice Address - Street 1:200 ORCHARD ST
Practice Address - Street 2:SUITE 102
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511
Practice Address - Country:US
Practice Address - Phone:203-624-1516
Practice Address - Fax:203-288-1858
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000192213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0895180001Medicare NSC
T22477Medicare UPIN
CT0895180002Medicare NSC