Central New York Family Health Nurse Practitioner PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CENTRAL NEW YORK FAMILY HEALTH NURSE PRACTITIONER PLLC

Practice address

5701 E. Circle Dr.
#264 Suite 108
Cicero, NY 13039

Phone

(315) 876-5748

NPI assigned

Aug 13, 2021

Last updated

Aug 13, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Midzy Lysius, FNP

Title

Ceo

Phone

(315) 876-5748

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1417622135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 YULEWOOD CIR",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130399251",
            "telephone_number": "315-876-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 E. CIRCLE DR.",
            "address_2": "#264 SUITE 108",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "13039",
            "telephone_number": "315-876-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEW YORK FAMILY HEALTH NURSE PRACTITIONER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "LYSIUS",
        "authorized_official_first_name": "MIDZY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-876-5748",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6303 Yulewooc Cir",
            "city": "Cicero",
            "state": "NY",
            "country_code": "US",
            "postal_code": "13039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James R Capone, PHARM. D
• Ronald C Carey-Santangelo, OTR/L
• Caring Caregivers LLC
• Carolyn a Cutre, O.D. PLLC (Cicero Family Eye Care)
• Laura Carroll, DC
• Cestaro Chiropractic PC
• Nicole Hilton Cestaro, D.C.
• Cynthia Dianne Christie, RN
• Cicero Dental Associates
• Cicero Family Dental Care

• Health Service Clinic/Center in Cicero, NY
• Providers in Cicero, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.