Provider Demographics
NPI:1932566783
Name:GHOUBRIAL, SILVYA
Entity Type:Individual
Prefix:
First Name:SILVYA
Middle Name:
Last Name:GHOUBRIAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 E 21ST ST
Mailing Address - Street 2:APT 2L
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-3720
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10 E 21ST ST
Practice Address - Street 2:APT 2L
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3720
Practice Address - Country:US
Practice Address - Phone:646-203-2444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-25
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No171WH0202XOther Service ProvidersContractorHome Modifications
No171WV0202XOther Service ProvidersContractorVehicle Modifications