Healthcare Provider Details

I. General information

NPI: 1265541015
Provider Name (Legal Business Name): NINA ZILBERMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 02/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 E 86TH ST
NEW YORK NY
10028-4615
US

IV. Provider business mailing address

PO BOX 1546
ENGLEWOOD CLIFFS NJ
07632
US

V. Phone/Fax

Practice location:
  • Phone: 212-772-3627
  • Fax:
Mailing address:
  • Phone: 201-945-6500
  • Fax: 201-945-1157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA06538100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number213266
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: