Individual
NYATOU ASTA SYLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
1470 RICHMOND TER APT 1B, STATEN ISLAND, NY 10310-1109
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
747041-1
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
F432903-01
NY
Other
Enumeration date
06/13/2018
Last updated
11/21/2024
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