Doctor Name: | DR. ANDREAS HERBERT SYLLABA |
NPI Number: | 1063500932 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | SL302205 |
Business Practice Address: | 1550 Yankee Park Pl Centerville, OH - 454581868 |
Business Phone Number: | 9374394949 |
Business Fax Number: | 9374394948 |
Mailing Address: | 1550 Yankee Park Pl, CENTERVILLE |
State: | OH |
Postal Code: | 454581868 |
Phone Number: | 9374394949 |
Fax Number: | 9374394948 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 06/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | SL302205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |