Healthcare Provider Details

I. General information

NPI: 1346401635
Provider Name (Legal Business Name): JONATHAN SILBERLICHT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2008
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 NASSAU ST # 60518
NEW YORK NY
10038-3703
US

IV. Provider business mailing address

82 NASSAU ST # 60518
NEW YORK NY
10038-3703
US

V. Phone/Fax

Practice location:
  • Phone: 917-746-8880
  • Fax:
Mailing address:
  • Phone: 917-746-8880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number254625
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: