Healthcare Provider Details

I. General information

NPI: 1629917836
Provider Name (Legal Business Name): SYLVIA SILEO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S WASHINGTON AVE STE 1000
SCRANTON PA
18505-3805
US

IV. Provider business mailing address

501 S WASHINGTON AVE STE 1000
SCRANTON PA
18505-3805
US

V. Phone/Fax

Practice location:
  • Phone: 570-230-0019
  • Fax: 570-230-0013
Mailing address:
  • Phone: 570-230-0019
  • Fax: 570-230-0013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number22410
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: