Healthcare Provider Details

I. General information

NPI: 1205850989
Provider Name (Legal Business Name): SYLVESTER C SVIOKLA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 CENTERVILLE RD SUITE 15
WARWICK RI
02886-4381
US

IV. Provider business mailing address

875 CENTERVILLE RD SUITE 15
WARWICK RI
02886-4381
US

V. Phone/Fax

Practice location:
  • Phone: 401-615-8500
  • Fax: 401-615-8500
Mailing address:
  • Phone: 401-615-8500
  • Fax: 401-615-8500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberMD06091
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD06091
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: