Provider Demographics
NPI:1851047278
Name:ZILBERG, STEVEN HANZLIK
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:HANZLIK
Last Name:ZILBERG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1578 7TH ST E APT SUITE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-4239
Mailing Address - Country:US
Mailing Address - Phone:612-991-6170
Mailing Address - Fax:
Practice Address - Street 1:302 RAILWAY AVE, SEWARD,
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:AK
Practice Address - Zip Code:99664
Practice Address - Country:US
Practice Address - Phone:907-224-5257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician