Provider Demographics
NPI:1720640378
Name:ONUSIC, SYLVIA PISARSKI (PHD, MS, CNS, LDN)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:PISARSKI
Last Name:ONUSIC
Suffix:
Gender:F
Credentials:PHD, MS, CNS, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 KENT ST
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:PA
Mailing Address - Zip Code:15946-2113
Mailing Address - Country:US
Mailing Address - Phone:814-502-1688
Mailing Address - Fax:
Practice Address - Street 1:1602 KENT ST
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:PA
Practice Address - Zip Code:15946-2113
Practice Address - Country:US
Practice Address - Phone:814-502-1688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-03
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005030133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADN005030OtherNONE