Provider Demographics
NPI:1174221600
Name:SILLAH, NEUMA (MA)
Entity type:Individual
Prefix:
First Name:NEUMA
Middle Name:
Last Name:SILLAH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2087 ANTHONY AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-3022
Mailing Address - Country:US
Mailing Address - Phone:646-573-8940
Mailing Address - Fax:
Practice Address - Street 1:169 W 133RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10030-3301
Practice Address - Country:US
Practice Address - Phone:646-762-4950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy