| Mrs Mary Agnes Wykstra, RN | |
|
1540 Glenwood Ave, Syracuse, NY 13207-1011 | |
| (315) 476-1771 | |
| Not Available |
| Full Name | Mrs Mary Agnes Wykstra |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 1540 Glenwood Ave, Syracuse, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356565675 | NPI | - | NPPES |
| NYS02549484 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 251724 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary Agnes Wykstra, RN 2041 Buckwheat Rd, Tully, NY 13159-9768 Ph: (315) 696-5095 | Mrs Mary Agnes Wykstra, RN 1540 Glenwood Ave, Syracuse, NY 13207-1011 Ph: (315) 476-1771 |
Miss Tracy Tassone, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 203 Helen St # 2, Syracuse, NY 13203 Phone: 954-817-5188 | |
Stephanie Ann Coglitore, MSN, FNP-BC Registered Nurse Medicare: Medicare Enrolled Practice Location: 204 Halcomb St, Syracuse, NY 13209 Phone: 315-727-5276 | |
Jaclyn Korver, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 108 Shonnard St, Syracuse, NY 13204 Phone: 315-435-4973 | |
Alwin Heuer, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 5801 E Taft Rd, Syracuse, NY 13212 Phone: 315-418-4140 | |
Tyler Grant, RN Registered Nurse Medicare: Medicare Enrolled Practice Location: 301 Prospect Ave, Syracuse, NY 13203 Phone: 315-448-5111 | |
Martin R. Baker, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-4550 | |
Colleen Susan Bartlett, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 Wadsworth St, Syracuse, NY 13208 Phone: 315-435-4672 Fax: 315-435-6384 |