Provider Demographics
NPI:1922248335
Name:IGOR ZILBERMAN DPM LLC
Entity Type:Organization
Organization Name:IGOR ZILBERMAN DPM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZILBERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:305-439-9479
Mailing Address - Street 1:230 174TH ST APT 1414
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3331
Mailing Address - Country:US
Mailing Address - Phone:305-439-9479
Mailing Address - Fax:305-439-9479
Practice Address - Street 1:230 174TH ST APT 1414
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-3331
Practice Address - Country:US
Practice Address - Phone:305-439-9479
Practice Address - Fax:305-937-3039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-25
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBN035AMedicare PIN