Healthcare Provider Details
I. General information
NPI: 1740549922
Provider Name (Legal Business Name): JONATHAN ZILBERSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/09/2012
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
244 W 72ND ST APT 7F
NEW YORK NY
10023-2807
US
IV. Provider business mailing address
315 W 57TH ST STE 306
NEW YORK NY
10019-3148
US
V. Phone/Fax
- Phone: 561-487-0131
- Fax:
- Phone: 347-871-0535
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 272550 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | 272550 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: