Tyler, David B

Tyler, David B is an individual health care provider with primary practice located at 739 Irving Avenue Suite 450, Syracuse NY 13210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tyler, David B can be contacted via phone (315) 470-7364.

Contact Information

Primary practice address
739 Irving Avenue Suite 450 Syracuse NY 13210
Phone: (315) 470-7364
Fax: (315) 470-5859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 123345 New York

Profile Details

NPI number 1104877216
LBN Legal business name Tyler, David B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Aug 9th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104877216 NPPES
New York MEDICAID 00459009

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