Individual
SYLVIE IDOKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6080 JERICHO TPKE STE 200, COMMACK, NY 11725-2808
(631) 864-7770
Mailing address
13506 JEWEL AVE, FLUSHING, NY 11367-1920
(347) 960-9933
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
NY
Enumeration date
01/21/2020
Last updated
01/21/2020
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