Provider Demographics
NPI:1417348814
Name:NARCISO, SYLVIA PAIS
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:PAIS
Last Name:NARCISO
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 1:300 CHASE AVE
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06704-2246
Mailing Address - Country:US
Mailing Address - Phone:203-437-3674
Mailing Address - Fax:203-721-8787
Practice Address - Street 1:300 CHASE AVE
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06704-2246
Practice Address - Country:US
Practice Address - Phone:203-437-3674
Practice Address - Fax:203-721-8787
Is Sole Proprietor?:No
Enumeration Date:2015-02-07
Last Update Date:2015-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0006971183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician