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

Mary Irene Balcerak

Individual provider Psychiatric Residential Treatment Facility · NPI 1194546788

Mary Irene Balcerak is a Psychiatric Residential Treatment Facility in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
Specialties on file
2

Practice location Address checks out

620 Madison St
Syracuse, NY 13210-2319
Phone: (315) 426-3985
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 433624 (NY)
Psychiatric Residential Treatment Facility Taxonomy 323P00000X · Licence 433624 (NY)

Record details

NPI number1194546788
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 17, 2024
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024

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