MEDICARE: DR. JUDITH SILVER PSY.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	103T00000X	Psychologist	008295-1	NY

General Provider Information

NPI Number	:	1356504815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDITH SILVER PSY.D.

Provider Business Mailing Address
First Line	:	2735 HENRY HUDSON PKWY
Second Line	:	SUITE 102
City	:	BRONX
State	:	NY
Zip	:	10463-4701
Country	:	US
Telephone Number	:	718-548-1560
Fax Number	:	646-723-3703

Provider Business Practice Location Address
First Line	:	2735 HENRY HUDSON PKWY
Second Line	:	SUITE 102
City	:	BRONX
State	:	NY
Zip	:	10463-4701
Country	:	US
Telephone Number	:	718-548-1560
Fax Number	:	646-723-3703

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

Provider Enumeration Date	:	07/04/2008
Last Update Date	:	07/04/2008

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