Provider Demographics
NPI:1750307625
Name:ZILBERMAN, YAKOV (DC)
Entity Type:Individual
Prefix:
First Name:YAKOV
Middle Name:
Last Name:ZILBERMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 50TH ST
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1266
Mailing Address - Country:US
Mailing Address - Phone:917-209-7852
Mailing Address - Fax:
Practice Address - Street 1:2511 OCEAN AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3950
Practice Address - Country:US
Practice Address - Phone:718-376-1004
Practice Address - Fax:718-376-1150
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010723111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU98185Medicare UPIN
NYX6R461Medicare PIN
NY06080IMedicare PIN