Provider Demographics
NPI:1013104660
Name:SILVERSTEIN, BETH MARA (DO)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:MARA
Last Name:SILVERSTEIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:300 EDWARDS ST
Mailing Address - Street 2:APT. 2LW
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1140
Mailing Address - Country:US
Mailing Address - Phone:917-282-1489
Mailing Address - Fax:
Practice Address - Street 1:10 MEDICAL PLZ
Practice Address - Street 2:SUITE 208
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-2101
Practice Address - Country:US
Practice Address - Phone:516-674-1647
Practice Address - Fax:516-674-9250
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2012-11-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2611232084N0600X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology