Healthcare Provider Details
I. General information
NPI: 1033192836
Provider Name (Legal Business Name): BERNARD ALLAN SILVERMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/25/2005
Last Update Date: 04/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2044 OCEAN AVE SUITE A7
BROOKLYN NY
11230-7328
US
IV. Provider business mailing address
2044 OCEAN AVE SUITE A7
BROOKLYN NY
11230-7328
US
V. Phone/Fax
- Phone: 718-998-5556
- Fax: 718-998-5566
- Phone: 718-998-5556
- Fax: 718-998-5566
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207K00000X |
| Taxonomy | Allergy & Immunology Physician |
| License Number | 143655 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: