Healthcare Provider Details

I. General information

NPI: 1750048914
Provider Name (Legal Business Name): ARIELLE SYPA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ARIELLE MILEWSKI

II. Dates (important events)

Enumeration Date: 11/23/2021
Last Update Date: 11/23/2021
Certification Date: 11/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 DEVON LOOP APT 5
STATEN ISLAND NY
10314-7557
US

IV. Provider business mailing address

160 DEVON LOOP APT 5
STATEN ISLAND NY
10314-7557
US

V. Phone/Fax

Practice location:
  • Phone: 718-354-7638
  • Fax:
Mailing address:
  • Phone: 718-354-7638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number114760
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: