Healthcare Provider Details

I. General information

NPI: 1427371186
Provider Name (Legal Business Name): SYLVIA P SPRINGER-FAHIE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2010
Last Update Date: 03/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18906 NASHVILLE BLVD
SPRINGFIELD GARDENS NY
11413-1021
US

IV. Provider business mailing address

18906 NASHVILLE BLVD
SPRINGFIELD GARDENS NY
11413-1021
US

V. Phone/Fax

Practice location:
  • Phone: 917-703-1194
  • Fax:
Mailing address:
  • Phone: 917-703-1194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number447058
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: