Provider Demographics
NPI:1881837425
Name:KRASZEWSKI-SILVERMAN, BEVERLEY MARION (DO)
Entity Type:Individual
Prefix:DR
First Name:BEVERLEY
Middle Name:MARION
Last Name:KRASZEWSKI-SILVERMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:29 MELODY LN S
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11709-3023
Mailing Address - Country:US
Mailing Address - Phone:516-398-4188
Mailing Address - Fax:718-661-7679
Practice Address - Street 1:29 MELODY LN S
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11709-3023
Practice Address - Country:US
Practice Address - Phone:516-398-4188
Practice Address - Fax:631-351-2300
Is Sole Proprietor?:No
Enumeration Date:2009-04-13
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252674-1207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine