Individual
DR. ELIZABETH G SYBRANDY-NICELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1001 SHROYER RD, DAYTON, OH 45419-3635
(937) 264-3150
(513) 858-7827
Mailing address
6200 PLEASANT AVE, SUITE 3, FAIRFIELD, OH 45014-4670
(937) 293-8448
(937) 617-4840
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2389
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0969831
—
OH
01
—
480020879
RAILROAD MEDICARE
OH
Enumeration date
07/20/2005
Last updated
10/29/2024
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