Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 261123 | NY |
N | 2084N0600X | Clinical Neurophysiologist | 261123 | NY |
NPI | 1013104660 |
---|---|
Provider Name | Dr. Beth Mara Silverstein |
First Address | Roslyn Heights, NY 11577-1140 |
Second Address | Glen Cove, NY 11542-2101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2007 |
Last Update Date | 13/11/2012 |