Provider Demographics
NPI:1649837584
Name:SILVERBERG, RENEE (THERAPIST)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:SILVERBERG
Suffix:
Gender:F
Credentials:THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 W 235TH ST
Mailing Address - Street 2:APT 5B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1763
Mailing Address - Country:US
Mailing Address - Phone:845-661-5335
Mailing Address - Fax:
Practice Address - Street 1:817 RED RD APT 3B
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4454
Practice Address - Country:US
Practice Address - Phone:845-661-5335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-27
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist