MS. PHYLLIS BAZEN NP
NPI 1962465377
Nurse Practitioner in Syracuse, NY

Active since April 07, 2006
819 S SALINA ST, SYRACUSE, NY 13202(315) 476-7921(315) 475-1448 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Phyllis Bazen Np NPPES

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

MS. PHYLLIS BAZEN NP (NPI 1962465377) is an individual nurse practitioner in Syracuse, New York, licensed in New York (F301006) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1962465377
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. PHYLLIS BAZENCredential: NP
Location Address819 S SALINA STSyracuse, NY 13202-3536
Mailing Address819 S Salina StSyracuse, NY 13202-3527 · (315) 476-7921 · Fax (315) 474-1448
Fax(315) 475-1448
Sole ProprietorNo
Enumeration DateApril 7, 2006
Last NPPES UpdateAugust 27, 2013
NPI 1962465377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NY · F301006
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

819 S SALINA ST, Syracuse, NY 13202

Other Identifiers 3

Medicare PINJ400043170NY
Medicare UPINP00228NY
Medicaid02184912NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
819 S SALINA ST
SYRACUSE, NY 13202
Social Worker (Clinical)
819 S SALINA ST
SYRACUSE, NY 13202
Nurse Practitioner (Family)
819 S SALINA ST
SYRACUSE, NY 13202
Dentist (Oral and Maxillofacial Surgery)
819 S SALINA ST
SYRACUSE, NY 13202
Internal Medicine
819 S SALINA ST
SYRACUSE, NY 13202
Physician Assistant
819 S SALINA ST
SYRACUSE, NY 13202
Dentist
819 S SALINA ST
SYRACUSE, NY 13202
Pediatrics
819 S SALINA ST
SYRACUSE, NY 13202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962465377, enumerated as an "individual" on April 07, 2006.

The provider is located at 819 S SALINA ST SYRACUSE, NY 13202 and the phone number is (315) 476-7921.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.