1538225479 NPI number — DR. SYLVANA MARIA RINALDI PHD

Table of content: DR. SYLVANA MARIA RINALDI PHD (NPI 1538225479)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538225479 NPI number — DR. SYLVANA MARIA RINALDI PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RINALDI
Provider First Name:
SYLVANA
Provider Middle Name:
MARIA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RINALDI TRENT
Provider Other First Name:
SYLVANA
Provider Other Middle Name:
MARIA
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1538225479
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
209 WASHINGTON AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RUTHERFORD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07070-1141
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-939-8787
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8801 FORT HAMILTON PARKWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11209-6003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-748-7364
Provider Business Practice Location Address Fax Number:
718-748-4419
Provider Enumeration Date:
12/28/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  012599 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 02265236 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".