Healthcare Provider Details

I. General information

NPI: 1841340700
Provider Name (Legal Business Name): ROBERT JAY SILVERMAN PH,D,
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1881 STEWART AVE
NEW HYDE PARK NY
11040-1623
US

IV. Provider business mailing address

1881 STEWART AVE
NEW HYDE PARK NY
11040-1623
US

V. Phone/Fax

Practice location:
  • Phone: 516-655-9433
  • Fax:
Mailing address:
  • Phone: 516-655-9433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY5552
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number010096-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: