MEDICARE: IGOR ZILBERMAN DPM LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922248335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IGOR ZILBERMAN DPM LLC

Provider Business Mailing Address
First Line	:	230 174TH ST APT 1414
Second Line	:
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-3331
Country	:	US
Telephone Number	:	305-439-9479
Fax Number	:	305-439-9479

Provider Business Practice Location Address
First Line	:	230 174TH ST APT 1414
Second Line	:
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-3331
Country	:	US
Telephone Number	:	305-439-9479
Fax Number	:	305-937-3039

Authorized Official
Title or Position	:	OWNER
Name	:	IGOR ZILBERMAN
Credential	:	DPM
Telephone Number	:	305-439-9479

Provider Enumeration Date	:	02/25/2009
Last Update Date	:	04/03/2009

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Directions to “IGOR ZILBERMAN DPM LLC ” Practice Location

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