Healthcare Provider Details

I. General information

NPI: 1225544687
Provider Name (Legal Business Name): SILBER PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2017
Last Update Date: 12/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 SKYLINE TER
SPRING VALLEY NY
10977-1015
US

IV. Provider business mailing address

40 SKYLINE TER
SPRING VALLEY NY
10977-1015
US

V. Phone/Fax

Practice location:
  • Phone: 845-661-4128
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number029614-1
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. SHAINDY SILBER
Title or Position: OWNER
Credential: DPT
Phone: 845-661-4128