Individual
DR. SYLVIE DESTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
170 W 12TH ST, LINK 217, NEW YORK, NY 10011-8202
(212) 604-8748
(212) 604-2929
Mailing address
470 W 24TH ST, 8G, NEW YORK, NY 10011-1205
(212) 604-8748
(212) 604-2929
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
160733
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1977820
—
NY
Enumeration date
07/11/2006
Last updated
07/08/2007
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