Healthcare Provider Details

I. General information

NPI: 1114170883
Provider Name (Legal Business Name): JENNIFER SILVER MASTERS OF SPEC ED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2008
Last Update Date: 09/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 KING ST
DOBBS FERRY NY
10522
US

IV. Provider business mailing address

28 KING ST
DOBBS FERRY NY
10522-2005
US

V. Phone/Fax

Practice location:
  • Phone: 914-479-1493
  • Fax:
Mailing address:
  • Phone: 914-479-1493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: