Individual
NYANTIOK MW BUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 BERKSHIRE AVE, SYRACUSE, NY 13208-3007
(315) 426-3600
(315) 426-3600
Mailing address
203 BERKSHIRE AVE, SYRACUSE, NY 13208-3007
(315) 426-3600
(315) 426-3600
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
746776
NY
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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