Provider Demographics
NPI:1003210121
Name:NYANN, SYLVIA ABA (RN)
Entity type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:ABA
Last Name:NYANN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 GERARD AVE
Mailing Address - Street 2:APT. 120B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10452-8846
Mailing Address - Country:US
Mailing Address - Phone:917-495-1784
Mailing Address - Fax:
Practice Address - Street 1:1075 GERARD AVE
Practice Address - Street 2:APT. 120B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-8846
Practice Address - Country:US
Practice Address - Phone:917-495-1784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY319625-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse