1871556274 NPI number — BONNIE SILVERMAN MD

Table of content: BONNIE SILVERMAN MD (NPI 1871556274)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871556274 NPI number — BONNIE SILVERMAN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SILVERMAN
Provider First Name:
BONNIE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871556274
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/19/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
475 TUCKAHOE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YONKERS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10710-5716
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-961-2700
Provider Business Mailing Address Fax Number:
914-961-0369

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
475 TUCKAHOE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YONKERS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10710-5716
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-961-2700
Provider Business Practice Location Address Fax Number:
914-961-0369
Provider Enumeration Date:
04/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  161959 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0056311 . This is a "AETNA US HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: OD1127 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01025396 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0737107015 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0006858 . This is a "GROUP HEALTH INC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 180031602 . This is a "RAILROAD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4096716 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 77D391 . This is a "MEDICARE BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: WS772 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".




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