MEDICARE: SYLMA FINE

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	251S00000X	Community/Behavioral Health Agency	NM 0133601	NM

General Provider Information

NPI Number	:	1679825095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYLMA FINE

Provider Business Mailing Address
First Line	:	PO BOX 25601
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87125-0601
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6666 4TH ST NW
Second Line	:
City	:	LOS RANCHOS
State	:	NM
Zip	:	87107-6144
Country	:	US
Telephone Number	:	505-553-6381
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SYLMA FINE
Credential	:	MA, LMFT, LPAT
Telephone Number	:	505-553-6381

Provider Enumeration Date	:	10/09/2012
Last Update Date	:	10/09/2012

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Directions to “SYLMA FINE ” Practice Location

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