Marina Wasylyshyn, M.D.

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

NY193327 Issued in NY

Practice address

49 Court St Ste 2
Binghamton, NY 13901-3236

Phone

(607) 770-4071

NPI assigned

Nov 9, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1861473597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 718",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137900718",
            "telephone_number": "607-770-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 COURT ST STE 2",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139013236",
            "telephone_number": "607-770-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASYLYSHYN",
        "first_name": "MARINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "NY193327",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NY",
            "license": "NY193327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Adair Warneck, LCSW-R
• Peggy Katherine Warner, RN
• Rebekah Lynn Warner
• Jacqueline Ann Warring
• Michael Wasco, MD
• Kathryn Ann Waters, LPN
• Allison Watson, LMSW
• Garrett Watson, MSPT
• Qiana Watson
• Ronae Watson

• Surgical Oncology Physician in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Surgical Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.