Basic Information
Provider Information
NPI: 1922124239
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SYLVESTER
FirstName: ALLISON
MiddleName: A
NamePrefix: MS.
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 760 BROADWAY DEPARTMENT OF MANAGED CARE ROOM 2B 230
Address2: WOODHULL MEDICAL & MENTAL HEALTH CENTER
City: BROOKLYN
State: NY
PostalCode: 11206
CountryCode: US
TelephoneNumber: 7186308000
FaxNumber: 7186303122
Practice Location
Address1: 760 BROADWAY
Address2: WOODHULL MEDICAL & MENTAL HEALTH CENTER
City: BROOKLYN
State: NY
PostalCode: 11206
CountryCode: US
TelephoneNumber: 7186308000
FaxNumber: 7186303122
Other Information
ProviderEnumerationDate: 03/21/2007
LastUpdateDate: 07/08/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XF333188NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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