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General NPI Number Information
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NPI Number | 1023294287
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Entity Type | Individual
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Provider Name | JACLYN M SYLVIA PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 110 S BEDFORD RD
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3446
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Country | US
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Telephone | 914-241-1050
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Fax |
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Provider Business Mailing Address
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Address Line | 600 WESTAGE BUSINESS CTR DR
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City | FISHKILL
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State | NY
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Zip | 12524-2281
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | AP2472
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 031846
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 002726
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License Number State | CT
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