Tyndall, Grace
Tyndall, Grace is an individual health care provider with primary practice located at 5 Cuba Hill Rd , Greenlawn NY 11740-1624. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tyndall, Grace can be contacted via phone (631) 628-5000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 278944 | New York |
Profile Details
| NPI number | 1063704880 |
|---|---|
| LBN Legal business name | Tyndall, Grace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2011 |
| Last updated | Jan 30th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063704880 | NPPES |
| New York | Other | A400122774 | MEDICARE PTAN |
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