Provider Demographics
NPI:1922540186
Name:PILTCH, SYLVA (DDS)
Entity Type:Individual
Prefix:
First Name:SYLVA
Middle Name:
Last Name:PILTCH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 CARROLL ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-1975
Mailing Address - Country:US
Mailing Address - Phone:646-460-0830
Mailing Address - Fax:
Practice Address - Street 1:661 CARROLL ST APT 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-1975
Practice Address - Country:US
Practice Address - Phone:646-460-0830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-04
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048905122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist