Provider Demographics
NPI:1811318561
Name:SILBERMAN, SHELLI LYNN
Entity type:Individual
Prefix:
First Name:SHELLI
Middle Name:LYNN
Last Name:SILBERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4036 GREENTREE DR
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-5927
Mailing Address - Country:US
Mailing Address - Phone:516-359-6207
Mailing Address - Fax:
Practice Address - Street 1:4036 GREENTREE DR
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-5927
Practice Address - Country:US
Practice Address - Phone:516-359-6207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-25
Last Update Date:2013-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY629315103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst