Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 264819 | MA |
N | 111NI0900X | Internist | 264819 | MA |
Y | 207RX0202X | Medical Oncology | 312161 | NY |
NPI | 1083097091 |
---|---|
Provider Name | Sylvia Vania Alarcon Velasco |
First Address | Pittsfield, MA 01201 |
Second Address | Pittsfield, MA 01201-4109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2015 |
Last Update Date | 26/07/2021 |