Provider Demographics
NPI:1497380729
Name:JENNIFER A. SYLVIA, DMD, P.C.
Entity Type:Organization
Organization Name:JENNIFER A. SYLVIA, DMD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-948-0406
Mailing Address - Street 1:282 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2116
Mailing Address - Country:US
Mailing Address - Phone:914-948-0406
Mailing Address - Fax:914-948-5454
Practice Address - Street 1:282 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:WEST HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10604-2116
Practice Address - Country:US
Practice Address - Phone:914-948-0406
Practice Address - Fax:914-948-5454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-06
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01743186Medicaid