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Individual

STEPHEN SYLVESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPT

Contact information

Practice address
4298 ELYSIAN FIELDS AVE, STE. C., NEW ORLEANS, LA 70122-3848
(504) 282-4406
(504) 282-4407
Mailing address
4298 ELYSIAN FIELDS AVE, STE. C., NEW ORLEANS, LA 70122-3848
(504) 282-4406
(504) 282-4407

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00559
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1560308
LA
01
48257
BLUE CROSS BLUE SHIELD
LA
01
5245416
AETNA
LA
Enumeration date
10/10/2006
Last updated
07/08/2007
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