CENTRAL NEW YORK FAMILY HEALTH NURSE PRACTITIONER PLLC
NPI 1417622135
Clinic/Center - Health Service in Cicero, NY

Active since August 13, 2021
5701 E. CIRCLE DR., #264 SUITE 108, CICERO, NY 13039(315) 876-5748 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Central New York Family Health Nurse Practitioner Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL NEW YORK FAMILY HEALTH NURSE PRACTITIONER PLLC (NPI 1417622135) is a healthcare organization registered as a health service in Cicero, New York and active in the NPI registry since August 2021. The organization lists Midzy Lysius, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417622135
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCENTRAL NEW YORK FAMILY HEALTH NURSE PRACTITIONER PLLC
Location Address5701 E. CIRCLE DR., #264 SUITE 108Cicero, NY 13039
Mailing Address6303 Yulewood CirCicero, NY 13039-9251 · (315) 876-5748
Organization SubpartNo
Authorized OfficialMidzy LysiusCeo · (315) 876-5748
Enumeration DateAugust 13, 2021
NPPES CertifiedJuly 20, 2021
NPI 1417622135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
5701 E. CIRCLE DR., Cicero, NY 13039

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central New York Family Health Nurse Practitioner PLLC's NPI number?

The NPI number for Central New York Family Health Nurse Practitioner PLLC is 1417622135. It was assigned to this organization in the NPPES registry on August 13, 2021.

Where is Central New York Family Health Nurse Practitioner PLLC located?

Central New York Family Health Nurse Practitioner PLLC is located at 5701 E. Circle Dr. #264 Suite 108, Cicero, NY 13039. The listed phone number is (315) 876-5748.

What is Central New York Family Health Nurse Practitioner PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Central New York Family Health Nurse Practitioner PLLC was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.