Provider Demographics
NPI:1447400544
Name:VASCONCELLOS, SYLVIA MARIE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:MARIE
Last Name:VASCONCELLOS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:SYLVIA
Other - Middle Name:MARIE RACINE
Other - Last Name:VASCONCELLOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:PO BOX 131
Mailing Address - Street 2:9616 MAREK RD.
Mailing Address - City:OTTO
Mailing Address - State:NY
Mailing Address - Zip Code:14766-0131
Mailing Address - Country:US
Mailing Address - Phone:716-257-5060
Mailing Address - Fax:
Practice Address - Street 1:515 ABBOTT RD. / SUITE 306
Practice Address - Street 2:BUFFALO MERCY HOSPITAL
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220
Practice Address - Country:US
Practice Address - Phone:716-828-2740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY452496-1163W00000X
NYF335552-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse