Provider Demographics
NPI:1881848794
Name:FENSKE, SUZANNE SILVERMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:SILVERMAN
Last Name:FENSKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SUZANNE
Other - Middle Name:KESSLER
Other - Last Name:SILVERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:645 MADISON AVENUE
Mailing Address - Street 2:6TH FLOOR-TARA MD
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-988-0562
Mailing Address - Fax:833-584-0695
Practice Address - Street 1:645 MADISON AVENUE
Practice Address - Street 2:6TH FLOOR-TARA MD
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-988-0562
Practice Address - Fax:833-584-0695
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT75743207V00000X
NY261212207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology