Provider Demographics
NPI:1831281443
Name:SYLVESTER, ELIZABETH JULIE (RPA-C)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JULIE
Last Name:SYLVESTER
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10 HAGEN DR
Mailing Address - Street 2:STE 310
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2660
Mailing Address - Country:US
Mailing Address - Phone:585-922-5840
Mailing Address - Fax:585-586-7558
Practice Address - Street 1:10 HAGEN DR
Practice Address - Street 2:STE 310
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2660
Practice Address - Country:US
Practice Address - Phone:585-922-5840
Practice Address - Fax:585-586-7558
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY007202363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical