MEDICARE: MRS. CHERYL SYTA N.P.

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	363LA2200X	Adult Health Nurse Practitioner	F303528	NY

General Provider Information

NPI Number	:	1982691481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHERYL SYTA N.P.

Provider Business Mailing Address
First Line	:	6 MEDICAL PARK DR STE 200
Second Line	:
City	:	MALTA
State	:	NY
Zip	:	12020-5053
Country	:	US
Telephone Number	:	518-289-2717
Fax Number	:	518-886-5247

Provider Business Practice Location Address
First Line	:	6 MEDICAL PARK DR STE 200
Second Line	:
City	:	MALTA
State	:	NY
Zip	:	12020-5053
Country	:	US
Telephone Number	:	518-289-2717
Fax Number	:	518-886-5247

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

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	08/11/2021

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