Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central New York Family Health Nurse Practitioner PLLC

Organization Health Service Clinic/Center · NPI 1417622135

Central New York Family Health Nurse Practitioner PLLC is a Health Service Clinic/Center in Cicero, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5701 E Circle Dr #264 Ste 108
Cicero, NY 13039
Phone: (315) 876-5748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1417622135
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Midzy Lysius — Ceo · (315) 876-5748
NPI enumeratedAugust 13, 2021
Last updated in NPPESAugust 13, 2021
Certification dateJuly 20, 2021
Mailing address6303 Yulewood Cir, Cicero, NY 13039-9251