Provider Demographics
NPI:1902029564
Name:SILVERSTEIN, BATSHEVA SUSAN (LAC)
Entity Type:Individual
Prefix:MS
First Name:BATSHEVA
Middle Name:SUSAN
Last Name:SILVERSTEIN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 OCEAN PKWY
Mailing Address - Street 2:SUITE 6F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230
Mailing Address - Country:US
Mailing Address - Phone:718-951-2377
Mailing Address - Fax:718-951-2377
Practice Address - Street 1:1309 AVE J
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230
Practice Address - Country:US
Practice Address - Phone:718-677-1710
Practice Address - Fax:718-677-6586
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0011961171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist