Provider Demographics
NPI:1679452577
Name:SYSYN, KARA ELIZABETH (RN)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:ELIZABETH
Last Name:SYSYN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SARATOGA VILLAGE BLVD STE 9
Mailing Address - Street 2:
Mailing Address - City:MALTA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-3703
Mailing Address - Country:US
Mailing Address - Phone:518-886-8251
Mailing Address - Fax:
Practice Address - Street 1:100 SARATOGA VILLAGE BLVD STE 9
Practice Address - Street 2:
Practice Address - City:MALTA
Practice Address - State:NY
Practice Address - Zip Code:12020-3703
Practice Address - Country:US
Practice Address - Phone:518-886-8251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY664336163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse