Healthcare Provider Details

I. General information

NPI: 1043735137
Provider Name (Legal Business Name): SYMPHONY MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2017
Last Update Date: 10/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

967 N BROADWAY
YONKERS NY
10701-1301
US

IV. Provider business mailing address

4460 LAKE FOREST DR STE 216
BLUE ASH OH
45242-3755
US

V. Phone/Fax

Practice location:
  • Phone: 914-964-4444
  • Fax:
Mailing address:
  • Phone: 800-513-3044
  • Fax: 866-434-2808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: MARK SILBERMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 914-559-1022