Individual provider · Type 1 NPI

Midzy B. Lysius, NP

Nurse Practitioner · Syracuse, NY

NPI number 1174995658 Active

Practice location

725 East Adams Street
Syracuse, NY 13210

Call (315) 464-4842 Map

Fax (315) 464-8912

Mailing address

251 Salina Meadows Parkway, Suite 100
Syracuse, NY 13212

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X343225 (NY)
Nurse Practitioner Primary 363L00000X343225 (NY)
Registered Nurse 163W00000X685753-1 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174995658

Midzy B. Lysius, NP's National Provider Identifier is 1174995658, issued on Oct 23, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Syracuse, NY. The record was last updated on Dec 10, 2025.