Individual
ANDISSA M SYLVESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 JEROME ST, BROOKLYN, NY 11207-2708
(347) 356-2256
Mailing address
180 JEROME ST, BROOKLYN, NY 11207-2708
(347) 356-2256
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321555
NY
Other
Enumeration date
03/05/2017
Last updated
03/05/2017
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