Healthcare Provider Details

I. General information

NPI: 1508663279
Provider Name (Legal Business Name): MELISSA PAIGE SILVERMAN OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 RICHMOND HILL RD
STATEN ISLAND NY
10314-5904
US

IV. Provider business mailing address

333 FAIRBANKS AVE
STATEN ISLAND NY
10306-4407
US

V. Phone/Fax

Practice location:
  • Phone: 718-979-5678
  • Fax:
Mailing address:
  • Phone: 347-985-5504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: