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PHYU PHYU WIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3946 ONEIDA ST, NEW HARTFORD, NY 13413-9702
(315) 624-8300
(315) 624-8310
Mailing address
2209 GENESEE ST, UTICA, NY 13501-5999
(315) 801-8534

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
734272
NY
363L00000X
Nurse Practitioner
Primary
349938
NY

Other

Enumeration date
06/01/2022
Last updated
07/25/2022
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