Provider Demographics
NPI:1871592394
Name:SILVERBERG, LYNN R (NP)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:R
Last Name:SILVERBERG
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:710 W 168TH ST
Mailing Address - Street 2:NEUROLOGICAL INSTITUTE 4TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-2603
Mailing Address - Country:US
Mailing Address - Phone:212-305-6384
Mailing Address - Fax:212-342-1229
Practice Address - Street 1:710 W 168TH ST
Practice Address - Street 2:NEUROLOGICAL INSTITUTE 4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-2603
Practice Address - Country:US
Practice Address - Phone:212-305-6384
Practice Address - Fax:212-342-1229
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF302050363LA2200X
NJNN47632363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02176170Medicaid
97N071Medicare ID - Type Unspecified
NY02176170Medicaid