MEDICARE: MIRIAM SYTNER NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	336198-1	NY

General Provider Information

NPI Number	:	1922320506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRIAM SYTNER NP

Provider Business Mailing Address
First Line	:	34 GEDNEY WAY
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-2519
Country	:	US
Telephone Number	:	914-473-8580
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 GEDNEY WAY
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-2519
Country	:	US
Telephone Number	:	914-473-8580
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2010
Last Update Date	:	09/15/2011

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