Provider Demographics
NPI:1467278424
Name:JOSEPH, SYLVIA (PA-C)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 CHERRY ST STE 2
Mailing Address - Street 2:
Mailing Address - City:LEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:19533-8503
Mailing Address - Country:US
Mailing Address - Phone:484-822-4840
Mailing Address - Fax:484-822-4842
Practice Address - Street 1:60 CHERRY ST STE 2
Practice Address - Street 2:
Practice Address - City:LEESPORT
Practice Address - State:PA
Practice Address - Zip Code:19533-8503
Practice Address - Country:US
Practice Address - Phone:484-822-4840
Practice Address - Fax:484-822-4842
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA007103363AM0700X
PAMA066239363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical