Healthcare Provider Details

I. General information

NPI: 1992629869
Provider Name (Legal Business Name): SYLVIA STELLY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 S BROADWAY
YONKERS NY
10701-3713
US

IV. Provider business mailing address

580 WHITE PLAINS RD STE 510
TARRYTOWN NY
10591-5152
US

V. Phone/Fax

Practice location:
  • Phone: 914-345-5900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number411702
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: