Provider Demographics
NPI:1558150367
Name:SYLVAIN, NATHAN C (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:C
Last Name:SYLVAIN
Suffix:
Gender:
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:NATHAN
Other - Middle Name:C
Other - Last Name:SYLVAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:4923 8TH AVE APT B6
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-2245
Mailing Address - Country:US
Mailing Address - Phone:347-387-4018
Mailing Address - Fax:
Practice Address - Street 1:4923 8TH AVE APT B6
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2245
Practice Address - Country:US
Practice Address - Phone:347-387-4018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028355225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist