Provider Demographics
NPI:1336342468
Name:DOUCHAND, SYLVIA THEODORA (LPN)
Entity Type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:THEODORA
Last Name:DOUCHAND
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 E 93RD ST
Mailing Address - Street 2:APT 3J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-5547
Mailing Address - Country:US
Mailing Address - Phone:212-289-6255
Mailing Address - Fax:
Practice Address - Street 1:154 BROOME ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4057
Practice Address - Country:US
Practice Address - Phone:212-677-7058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY165766-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse