Healthcare Provider Details

I. General information

NPI: 1609594910
Provider Name (Legal Business Name): NOELLE ASHLEY SYLVAIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. NOELLE ASHLEY WASHINGTON

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2063A BARTOW AVE
BRONX NY
10475-4631
US

IV. Provider business mailing address

135 MINEOLA BLVD FL 2
MINEOLA NY
11501-3917
US

V. Phone/Fax

Practice location:
  • Phone: 917-310-3371
  • Fax: 516-938-1554
Mailing address:
  • Phone: 516-206-2437
  • Fax: 516-938-1554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number432398
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number352899
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number686527
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: