Provider Demographics
NPI:1962790907
Name:MOHEN, SYLVIA ANNA (MD)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:ANNA
Last Name:MOHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 E 93RD ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0665
Mailing Address - Country:US
Mailing Address - Phone:646-559-5014
Mailing Address - Fax:
Practice Address - Street 1:1035 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0912
Practice Address - Country:US
Practice Address - Phone:212-987-0100
Practice Address - Fax:212-987-1754
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-12
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2722412084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology