Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225CX0006X | Orientation and Mobility Training Provider |
NPI | 1629324827 |
---|---|
Provider Name | Ms. Deborah Gail Silberberg |
First Address | Valley Cottage, NY 10989-1215 |
Second Address | Valley Cottage, NY 10989-1215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2012 |
Last Update Date | 26/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
164125 | NYS EARLY INTERVENTION PROGRAM (01) | NY |