MEDICARE: DR. JEFFERY SETH SILBERMAN PH.D.

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	103TC0700X	Clinical Psychologist	9037	NY

General Provider Information

NPI Number	:	1184718660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFERY SETH SILBERMAN PH.D.

Provider Business Mailing Address
First Line	:	23 GREEN ST
Second Line	:	SUITE 310
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-3336
Country	:	US
Telephone Number	:	516-729-0111
Fax Number	:	631-862-0807

Provider Business Practice Location Address
First Line	:	23 GREEN ST
Second Line	:	SUITE 310
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-3336
Country	:	US
Telephone Number	:	516-729-0111
Fax Number	:	631-862-0807

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	07/08/2007

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