Provider Demographics
NPI:1538355615
Name:SYLVESTER, CLAUDINE MONICA (PTA/LMT)
Entity type:Individual
Prefix:MRS
First Name:CLAUDINE
Middle Name:MONICA
Last Name:SYLVESTER
Suffix:
Gender:F
Credentials:PTA/LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 BRANTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-1408
Mailing Address - Country:US
Mailing Address - Phone:718-451-2623
Mailing Address - Fax:718-261-2768
Practice Address - Street 1:118 BRANTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-1408
Practice Address - Country:US
Practice Address - Phone:718-451-2623
Practice Address - Fax:718-261-2768
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005098-1208100000X
NY009526-1208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation