MEDICARE: DANICA NOEL-SYLVESTER FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	342114	NY

General Provider Information

NPI Number	:	1275045395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANICA NOEL-SYLVESTER FNP

Provider Business Mailing Address
First Line	:	6565 FLATLANDS AVE RM C-150
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236
Country	:	US
Telephone Number	:	718-968-4261
Fax Number	:

Provider Business Practice Location Address
First Line	:	6565 FLATLANDS AVE RM C-150
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236
Country	:	US
Telephone Number	:	718-968-4261
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2017
Last Update Date	:	03/20/2020

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