Healthcare Provider Details

I. General information

NPI: 1497380729
Provider Name (Legal Business Name): JENNIFER A. SYLVIA, DMD, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2020
Last Update Date: 03/06/2020
Certification Date: 03/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 COLUMBUS AVE
WEST HARRISON NY
10604-2116
US

IV. Provider business mailing address

282 COLUMBUS AVE
WEST HARRISON NY
10604-2116
US

V. Phone/Fax

Practice location:
  • Phone: 914-948-0406
  • Fax: 914-948-5454
Mailing address:
  • Phone: 914-948-0406
  • Fax: 914-948-5454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: MS. SUSAN FRANZE
Title or Position: OFFICE MANAGER
Credential:
Phone: 914-948-0406