Individual provider · Type 1 NPI
Sylvia Ebalu, PA-C
Medical Physician Assistant · Bronx, NY
NPI number
1487040358
Active
Practice location
111 E 210th St
Bronx, NY 10467-2401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 018567 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1487040358
Sylvia Ebalu, PA-C's National Provider Identifier is 1487040358, issued on Apr 8, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bronx, NY. The record was last updated on Aug 20, 2015.