County Of Wayne

Specialty details in registry · Lyons, NY

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At a glance

1519 Nye Rd., Lyons, NY 14489

NPPES record updated Mar 13, 2012. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1519 Nye Rd. Suite 200
Lyons, NY 14489
Professional details: NPI, taxonomy & registry record
NPI1790886299
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251300000X
Enumeration date
Sep 26, 2006
Record updated
Mar 13, 2012
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

251300000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1519 Nye Rd.
Suite 200
Lyons, NY 14489
Phone
(315) 946-5749
Fax
(315) 946-5762
Mailing address
1519 NYE RD.
SUITE 200
LYONS, NY 14489
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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