Provider Demographics
NPI:1962934984
Name:SILBERMAN, SARA ADINA (DMD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:ADINA
Last Name:SILBERMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:ADINA
Other - Last Name:MINKOWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:19 SKYLINE DRIVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532
Mailing Address - Country:US
Mailing Address - Phone:914-594-2700
Mailing Address - Fax:914-594-2607
Practice Address - Street 1:19 SKYLINE DRIVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532
Practice Address - Country:US
Practice Address - Phone:914-594-2700
Practice Address - Fax:914-594-2607
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-29
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0318031223G0001X
390200000X
NY0627881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program