Healthcare Provider Details

I. General information

NPI: 1205952058
Provider Name (Legal Business Name): MRS. LYNNE SILVERSTEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 JEROME AVE
BRONX NY
10467-1052
US

IV. Provider business mailing address

3640 JOHNSON AVE
BRONX NY
10463-1617
US

V. Phone/Fax

Practice location:
  • Phone: 718-881-7600
  • Fax:
Mailing address:
  • Phone: 718-549-4186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: