Provider Demographics
NPI:1609594910
Name:SYLVAIN, NOELLE ASHLEY (NP)
Entity Type:Individual
Prefix:MS
First Name:NOELLE
Middle Name:ASHLEY
Last Name:SYLVAIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:NOELLE
Other - Middle Name:ASHLEY
Other - Last Name:WASHINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3903 NOSTRAND AVE APT 5J
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2166
Mailing Address - Country:US
Mailing Address - Phone:718-502-5131
Mailing Address - Fax:
Practice Address - Street 1:1991 MARCUS AVE STE 102
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-2062
Practice Address - Country:US
Practice Address - Phone:516-497-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY432398163WR0006X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant