Provider Demographics
NPI:1003188681
Name:MEHMEL, SILVIA R (NP)
Entity Type:Individual
Prefix:
First Name:SILVIA
Middle Name:R
Last Name:MEHMEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2514 WOODHULL AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-6102
Mailing Address - Country:US
Mailing Address - Phone:718-618-0401
Mailing Address - Fax:718-294-6276
Practice Address - Street 1:2514 WOODHULL AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-6102
Practice Address - Country:US
Practice Address - Phone:718-618-0401
Practice Address - Fax:718-294-6276
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-30
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY337190363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily