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Mr. Robert John Tyson III, LPN
Licensed Practical Nurse in Syracuse, New York
NPI 1336336759

Robert John Tyson III is a Licensed Practical Nurse based in Syracuse, NY. Robert John Tyson III practices in Syracuse, NY and has the professional credentials of LPN. The NPI Number for Robert John Tyson III is 1336336759 and holds a License No. 241946 (New York).

The current practice location address for Robert John Tyson III is 215 Standish Dr, Syracuse, NY and can be reached out via phone at 315-477-9593. You can also correspond with Robert John Tyson III through the mailing address at 215 STANDISH DR, SYRACUSE, NY - 13224-1913 (mailing address contact number: 315-477-9593).

Location: 215 Standish Dr, Syracuse, NY, 13224-1913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336336759
Provider Name
Robert John Tyson III
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
215 Standish Dr, Syracuse, NY, 13224-1913
Phone Number
315-477-9593
Fax Number
Provider Enumeration Date
09/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
215 Standish Dr
City
Syracuse
State
New York
Zip
13224-1913
Phone Number
315-477-9593
Fax Number
person
Provider Business Mailing Address Details
Address
215 Standish Dr
City
Syracuse
State
New York
Zip
13224-1913
Phone Number
315-477-9593
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
241946 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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