Healthcare Provider Details

I. General information

NPI: 1659459089
Provider Name (Legal Business Name): INGA ZILBERSTEIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 02/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1317 3RD AVE 4TH FLOOR
NEW YORK NY
10021-2995
US

IV. Provider business mailing address

1317 3RD AVE 9TH FLOOR
NEW YORK NY
10021-2995
US

V. Phone/Fax

Practice location:
  • Phone: 212-734-0187
  • Fax: 212-327-0771
Mailing address:
  • Phone: 212-734-0187
  • Fax: 212-327-0771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number173341
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: