Healthcare Provider Details

I. General information

NPI: 1326178617
Provider Name (Legal Business Name): BONNIE S. SILVERMAN, M.D. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 03/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 TUCKAHOE RD STE #203
YONKERS NY
10710-5716
US

IV. Provider business mailing address

475 TUCKAHOE RD STE #203
YONKERS NY
10710-5716
US

V. Phone/Fax

Practice location:
  • Phone: 914-961-2700
  • Fax: 914-961-0369
Mailing address:
  • Phone: 914-961-2700
  • Fax: 914-961-0369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number161959
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number161959
License Number StateNY

VIII. Authorized Official

Name: BONNIE S SILVERMAN
Title or Position: PHYSICIAN
Credential: MD
Phone: 914-961-2700