Provider Demographics
NPI:1003933292
Name:SILVERMAN, MARIAN GAIL (PSYD)
Entity type:Individual
Prefix:
First Name:MARIAN
Middle Name:GAIL
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 LARRY DR
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-3327
Mailing Address - Country:US
Mailing Address - Phone:631-858-1744
Mailing Address - Fax:
Practice Address - Street 1:1731 SEMINOLE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1807
Practice Address - Country:US
Practice Address - Phone:718-430-8900
Practice Address - Fax:718-892-4736
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014864-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical