Mr Robert John Tyson Iii, LPN in Syracuse, NY

Mr Robert John Tyson Iii, LPN is a Licensed Practical Nurse based in Syracuse, New York. Mr Robert John Tyson Iii is licensed to practice in New York (license number 241946) and his current practice location is 215 Standish Dr, Syracuse, New York. He can be reached at his office (for appointments etc.) via phone at (315) 477-9593.

NPI number for Mr Robert John Tyson Iii is 1336336759 and his current mailing address is 215 Standish Dr, Syracuse, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336336759.

Contact Information

	Mr Robert John Tyson Iii, LPN
	215 Standish Dr, Syracuse, NY 13224-1913
	(315) 477-9593
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Robert John Tyson Iii
Gender	Male
Speciality	Licensed Practical Nurse
Location	215 Standish Dr, Syracuse, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1336336759
Provider Enumeration Date: 09/30/2007
Last Update Date: 09/30/2007

Medical Identifiers

Medical identifiers for Mr Robert John Tyson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336336759	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	241946 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Robert John Tyson Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Robert John Tyson Iii, LPN 215 Standish Dr, Syracuse, NY 13224-1913 Ph: (315) 477-9593	Mr Robert John Tyson Iii, LPN 215 Standish Dr, Syracuse, NY 13224-1913 Ph: (315) 477-9593

Reviews and Comments

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Ralph Salotto, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3300 James St, 201, Syracuse, NY 13206 Phone: 315-437-4500 Fax: 315-437-1632
Lynn M. Barton, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1050 W Genesee St, Syracuse, NY 13204 Phone: 315-424-3744 Fax: 315-424-3745

Mr Robert John Tyson Iii, LPN - Licensed Practical Nurse in Syracuse, NY