Provider Demographics
NPI:1487701041
Name:SILBERMAN, SUSAN AMY (NP)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:AMY
Last Name:SILBERMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:SHOSHANA
Other - Middle Name:A
Other - Last Name:SILBERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:2961 26TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-4839
Mailing Address - Country:US
Mailing Address - Phone:415-405-5287
Mailing Address - Fax:
Practice Address - Street 1:1833 FILLMORE STREET
Practice Address - Street 2:3RD FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110
Practice Address - Country:US
Practice Address - Phone:415-379-7802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP 17739363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology