Individual
EDWARD J WYLUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5008 BRITTONFIELD PKWY STE 700, EAST SYRACUSE, NY 13057
(315) 472-7504
(315) 634-4677
Mailing address
5008 BRITTONFIELD PKWY STE 700, EAST SYRACUSE, NY 13057-9249
(315) 472-7504
(315) 634-4677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT014151
PA
207RH0003X
Hematology & Oncology Physician
Primary
289014
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
289014
NYS LICENSE
NY
Enumeration date
05/25/2011
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us