Provider Demographics
NPI:1891710620
Name:NEIRA, SYLVIA BEATRIZ (PHD)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:BEATRIZ
Last Name:NEIRA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 BRIAN CT
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-1300
Mailing Address - Country:US
Mailing Address - Phone:631-754-8405
Mailing Address - Fax:
Practice Address - Street 1:9 BRIAN CT
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-1300
Practice Address - Country:US
Practice Address - Phone:631-261-3584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009209103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0011820002OtherEMPIRE VALUE OPTIONS
NYP981664OtherOXFORD
NY0011820OtherGHI
NY0011820002OtherEMPIRE VALUE OPTIONS