Healthcare Provider Details

I. General information

NPI: 1649100660
Provider Name (Legal Business Name): DENISE SILLMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2579 OCEAN AVE FL 3
BROOKLYN NY
11229-4552
US

IV. Provider business mailing address

645 W 239TH ST APT 4F
BRONX NY
10463-1272
US

V. Phone/Fax

Practice location:
  • Phone: 646-780-0926
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number011822
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: