Provider Demographics
NPI:1316949134
Name:SILVERMAN, PAMELA SUE (MD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:SUE
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 OXFORD RD
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-3713
Mailing Address - Country:US
Mailing Address - Phone:914-636-7164
Mailing Address - Fax:914-712-7320
Practice Address - Street 1:2 EAST AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-2462
Practice Address - Country:US
Practice Address - Phone:914-712-7320
Practice Address - Fax:914-712-7320
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-11
Last Update Date:2014-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1546542084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
03E611Medicare ID - Type Unspecified
A60056Medicare UPIN