Provider Demographics
NPI:1881826162
Name:ZILBER, VIOLA (PA)
Entity Type:Individual
Prefix:MS
First Name:VIOLA
Middle Name:
Last Name:ZILBER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3049 BRIGHTON 6TH STREET
Mailing Address - Street 2:UNIT CU1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6409
Mailing Address - Country:US
Mailing Address - Phone:718-934-0322
Mailing Address - Fax:718-934-0994
Practice Address - Street 1:3049 BRIGHTON 6TH STREET
Practice Address - Street 2:UNIT CU1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6409
Practice Address - Country:US
Practice Address - Phone:718-934-0322
Practice Address - Fax:718-934-0994
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011831-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY011831-1OtherLICENSE NUMBER