Healthcare Provider Details
I. General information
NPI: 1457381477
Provider Name (Legal Business Name): DOBBS FERRY EMERGENCY MEDICINE, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/04/2006
Last Update Date: 03/22/2023
Certification Date: 03/22/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
128 ASHFORD AVE
DOBBS FERRY NY
10522-1924
US
IV. Provider business mailing address
4460 LAKE FOREST DR STE 216
BLUE ASH OH
45242-3755
US
V. Phone/Fax
- Phone: 845-368-4800
- Fax: 845-369-1697
- Phone: 800-513-3044
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084A0401X |
| Taxonomy | Addiction Medicine (Psychiatry & Neurology) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AS0400X |
| Taxonomy | Surgical Physician Assistant |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 146D00000X |
| Taxonomy | Personal Emergency Response Attendant |
| License Number | |
| License Number State | NY |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARK
SILBERMAN
Title or Position: DIRECTOR
Credential: MD
Phone: 845-368-4800