Healthcare Provider Details

I. General information

NPI: 1659676625
Provider Name (Legal Business Name): NANETTE B. SILVERBERG, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2011
Last Update Date: 01/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2839 BRIGHTON 7TH ST
BROOKLYN NY
11235-5203
US

IV. Provider business mailing address

770 OCEAN PKWY APT 6F
BROOKLYN NY
11230-2158
US

V. Phone/Fax

Practice location:
  • Phone: 718-332-0270
  • Fax: 718-332-1318
Mailing address:
  • Phone: 718-332-0270
  • Fax: 718-332-1318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number202174
License Number StateNY

VIII. Authorized Official

Name: DR. NANETTE SILVERBERG
Title or Position: PHYSICIAN
Credential: MD
Phone: 718-332-0270