Provider Demographics
NPI:1861580680
Name:SILVERSTEIN, JEFFREY C (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:C
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:155 MERRICK AVE
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-3125
Mailing Address - Country:US
Mailing Address - Phone:516-868-9188
Mailing Address - Fax:516-868-4565
Practice Address - Street 1:155 MERRICK AVE
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-3125
Practice Address - Country:US
Practice Address - Phone:516-868-9188
Practice Address - Fax:516-868-4565
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1809472080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine