Provider Demographics
NPI:1275864522
Name:BELLO, SYLVIA STEPHANIE (BACHELORS)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:STEPHANIE
Last Name:BELLO
Suffix:
Gender:F
Credentials:BACHELORS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 BOWDOIN ST APT 3
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER CENTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-1007
Mailing Address - Country:US
Mailing Address - Phone:857-222-1149
Mailing Address - Fax:
Practice Address - Street 1:15 CHRISTOPHER ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02122-1218
Practice Address - Country:US
Practice Address - Phone:617-288-7450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator