Provider Demographics
NPI:1790922029
Name:SILVERMAN, NANCY (OT)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:KONIGSBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OT
Mailing Address - Street 1:14 HALF MOON ISLE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-5408
Mailing Address - Country:US
Mailing Address - Phone:201-435-4869
Mailing Address - Fax:201-521-1124
Practice Address - Street 1:14 HALF MOON ISLE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-5408
Practice Address - Country:US
Practice Address - Phone:201-435-4869
Practice Address - Fax:201-521-1124
Is Sole Proprietor?:No
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006468-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist