Provider Demographics
NPI:1639430465
Name:NAYON, SYVIL (PT)
Entity Type:Individual
Prefix:
First Name:SYVIL
Middle Name:
Last Name:NAYON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3734 58TH ST
Mailing Address - Street 2:FLR 1
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-2473
Mailing Address - Country:US
Mailing Address - Phone:718-559-7662
Mailing Address - Fax:
Practice Address - Street 1:37-34 58TH ST
Practice Address - Street 2:FLR 1
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377
Practice Address - Country:US
Practice Address - Phone:718-559-7662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030886225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist