Midzy Lysius, RN | |
5496 E Taft Rd, North Syracuse, NY 13212-3784 | |
(315) 552-6700 | |
Not Available |
Full Name | Midzy Lysius |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5496 E Taft Rd, North Syracuse, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174995658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 685753-1 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 343225 (New York) | Primary |
Entity Name | Central New York Family Health Nurse Practitioner Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417622135 PECOS PAC ID: 6204225162 Enrollment ID: O20220419000554 |
Mailing Address | Practice Location Address |
---|---|
Midzy Lysius, RN 5701 E Circle Dr, 264 Ste 108, Cicero, NY 13039 Ph: (315) 876-5748 | Midzy Lysius, RN 5496 E Taft Rd, North Syracuse, NY 13212-3784 Ph: (315) 552-6700 |
Jennifer Cavallaro, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 792 N Main St Ste 100b, North Syracuse, NY 13212 Phone: 315-458-4623 | |
Erin M Carroll, NP, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 792 N Main St Ste 200, North Syracuse, NY 13212 Phone: 315-458-8700 Fax: 315-701-1075 | |
Jennifer Lynnrushak Baldwin, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 792 N Main St, North Syracuse, NY 13212 Phone: 315-452-4623 | |
Ursula M Vaccaro, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5496 East Taft Road, North Syracuse, NY 13212 Phone: 315-552-6700 Fax: 315-552-6701 | |
Zoryana Moreau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5496 E Taft Rd, North Syracuse, NY 13212 Phone: 315-552-6700 Fax: 315-552-6701 | |
Jill M Agne, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5229 Witz Drive, North Syracuse, NY 13212 Phone: 315-701-9500 | |
Krista Switzer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5496 E Taft Rd, North Syracuse, NY 13212 Phone: 315-552-6700 Fax: 315-552-6701 |