Provider Demographics
NPI:1710383203
Name:LAWRENCE SILVERBERG, CPM
Entity Type:Organization
Organization Name:LAWRENCE SILVERBERG, CPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-871-0800
Mailing Address - Street 1:20 E 46TH ST RM 200
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-9287
Mailing Address - Country:US
Mailing Address - Phone:212-871-0800
Mailing Address - Fax:206-203-3026
Practice Address - Street 1:20 E 46TH ST RM 200
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-9287
Practice Address - Country:US
Practice Address - Phone:212-871-0800
Practice Address - Fax:206-203-3026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005652-1213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPB7392Medicare UPIN