Provider Demographics
NPI:1871556274
Name:SILVERMAN, BONNIE (MD)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 TUCKAHOE RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-5716
Mailing Address - Country:US
Mailing Address - Phone:914-961-2700
Mailing Address - Fax:914-961-0369
Practice Address - Street 1:475 TUCKAHOE RD
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-5716
Practice Address - Country:US
Practice Address - Phone:914-961-2700
Practice Address - Fax:914-961-0369
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-08
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY161959207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0056311OtherAETNA US HEALTHCARE
OD1127OtherHEALTHNET
NY01025396Medicaid
0737107015OtherCIGNA
0006858OtherGROUP HEALTH INC
180031602OtherRAILROAD
4096716OtherAETNA
77D391OtherMEDICARE BLUE CROSS
WS772OtherOXFORD
WS772OtherOXFORD
NY77D391Medicare PIN