Healthcare Provider Details

I. General information

NPI: 1184774556
Provider Name (Legal Business Name): HOWARD STEVEN SILVERBRAND D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2136 MATTHEWS AVE
BRONX NY
10462-2001
US

IV. Provider business mailing address

2136 MATTHEWS AVE
BRONX NY
10462-2001
US

V. Phone/Fax

Practice location:
  • Phone: 718-409-1610
  • Fax:
Mailing address:
  • Phone: 718-409-1610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number31710
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: