Healthcare Provider Details

I. General information

NPI: 1275885048
Provider Name (Legal Business Name): CARYL PATRICE SILBERMAN R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2012
Last Update Date: 10/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 W BUFFALO ST
ITHACA NY
14850-4124
US

IV. Provider business mailing address

1984 ELLIS HOLLOW RD
ITHACA NY
14850-9665
US

V. Phone/Fax

Practice location:
  • Phone: 607-273-2782
  • Fax:
Mailing address:
  • Phone: 607-351-8887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number91288
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number456579-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: