Individual
MRS. SYLVIA A OBANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(315) 380-9332
Mailing address
454 ALBERT ST APT A, APT A, ELMIRA, NY 14904-2312
(315) 380-9332
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
783963-01
NY
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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