Sylva Medical Practice, PLLC
Clinic/Center, Community Health in Waynesburg, PA. Organization (NPI-2).
NPI number1831801992
StatusActive
Last updated in NPPESDec 20, 2022
Details
- NPI
- 1831801992
- Entity type
- Organization (NPI-2)
- Legal business name
- Sylva Medical Practice, PLLC
- Organization subpart
- No
- Enumeration date
- Dec 20, 2022
- Certification date
- Dec 20, 2022
- Last updated
- Dec 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QC1500X | Clinic/Center, Community Health | – | – | Yes |
| 261QP2400X | Clinic/Center, Prison Health | – | – | |
| 261Q00000X | Clinic/Center | – | – |
Practice location
175 Progress DrWaynesburg, PA 15370-8082
Phone 724-852-2902
Mailing address
137 Valencia RdRenfrew, PA 16053-9459
Phone 445-544-0210
Other practice locations
50 Overlook Dr
La Belle, PA 15450-1050
La Belle, PA 15450-1050
Phone 724-364-2200
Authorized official
Jean Sylvestre Ayissi Essono
Doctor
4455440210
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