MEDICARE: ALEX ZILBERMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NI0013X	Independent Medical Examiner Chiropractor	X011674	NY

General Provider Information

NPI Number	:	1134360373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX ZILBERMAN

Provider Business Mailing Address
First Line	:	2414 E 27TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2004
Country	:	US
Telephone Number	:	917-972-1489
Fax Number	:

Provider Business Practice Location Address
First Line	:	3023 AVENUE V
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-5448
Country	:	US
Telephone Number	:	917-972-1489
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2009
Last Update Date	:	03/19/2010

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