Provider Demographics
NPI:1659819977
Name:ARANCIBIA, SYLWIA AGNIESZKA
Entity Type:Individual
Prefix:MRS
First Name:SYLWIA
Middle Name:AGNIESZKA
Last Name:ARANCIBIA
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 1:47 MONITOR ST
Mailing Address - Street 2:APT.1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-5106
Mailing Address - Country:US
Mailing Address - Phone:860-874-9829
Mailing Address - Fax:
Practice Address - Street 1:47 MONITOR ST
Practice Address - Street 2:APT.1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222
Practice Address - Country:US
Practice Address - Phone:860-874-9829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009202224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant