Individual
MIDZY B LYSIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 EAST ADAMS STREET, SYRACUSE, NY 13210
(315) 464-4842
(315) 464-8912
Mailing address
251 SALINA MEADOWS PARKWAY, SUITE 100, SYRACUSE, NY 13212
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
685753-1
NY
363L00000X
Nurse Practitioner
Primary
343225
NY
363LF0000X
Family Nurse Practitioner
343225
NY
Other
Enumeration date
10/23/2015
Last updated
12/10/2025
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