Provider Demographics
NPI:1417183898
Name:YORK, SYBIL ANN BERTULEIT
Entity Type:Individual
Prefix:
First Name:SYBIL
Middle Name:ANN BERTULEIT
Last Name:YORK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 BROOK ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1644
Mailing Address - Country:US
Mailing Address - Phone:508-520-9175
Mailing Address - Fax:
Practice Address - Street 1:146 BROOK ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-1644
Practice Address - Country:US
Practice Address - Phone:508-520-9175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-30
Last Update Date:2009-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist