Provider Demographics
NPI:1699934745
Name:BONNIE S SILVERMAN MD PC
Entity type:Organization
Organization Name:BONNIE S SILVERMAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:SILVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-961-2700
Mailing Address - Street 1:475 TUCKAHOE RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-5716
Mailing Address - Country:US
Mailing Address - Phone:914-961-2700
Mailing Address - Fax:914-961-0369
Practice Address - Street 1:475 TUCKAHOE RD
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-5716
Practice Address - Country:US
Practice Address - Phone:914-961-2700
Practice Address - Fax:914-961-0369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-04
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY161959207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0006858OtherGHI
NY0056311OtherAUSHC
NY01025396Medicaid
NY0737107015OtherCIGNA
NY77D391OtherBLUE CROSS
NY4096716OtherAETNA
NYOD1127OtherHEALTHNET
NYWS772OtherOXFORD
NYOD1127OtherHEALTHNET
NY01025396Medicaid