Provider Demographics
NPI:1225923055
Name:SILBERMAN, KIM
Entity type:Individual
Prefix:
First Name:KIM
Middle Name:
Last Name:SILBERMAN
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 E 12TH ST APT 11E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-5042
Mailing Address - Country:US
Mailing Address - Phone:305-303-2036
Mailing Address - Fax:
Practice Address - Street 1:70 E 12TH ST APT 11E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-5042
Practice Address - Country:US
Practice Address - Phone:305-303-2036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program