Provider Demographics
NPI:1912330630
Name:SILVERBERG, ANNA (ANP-C)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:SILVERBERG
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 FAIRBANKS CT
Mailing Address - Street 2:
Mailing Address - City:WATER MILL
Mailing Address - State:NY
Mailing Address - Zip Code:11976-2340
Mailing Address - Country:US
Mailing Address - Phone:631-287-0460
Mailing Address - Fax:
Practice Address - Street 1:16 FAIRBANKS CT
Practice Address - Street 2:
Practice Address - City:WATER MILL
Practice Address - State:NY
Practice Address - Zip Code:11976-2340
Practice Address - Country:US
Practice Address - Phone:631-287-0460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF306558-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health