- Practice location
- 670 Stoneleigh Ave, Carmel, NY 10512-3997
- Phone
- 845-790-1321
- Fax
- —
- Last updated
- September 30, 2025
Tyler Allen Defriece is a Student in an Organized Health Care Education/Training Program based in Carmel, NY. Tyler Allen Defriece practices in Carmel, NY and has the professional credentials of MD. The NPI Number for Tyler Allen Defriece is 1619617479 and holds a License No. 79679 (CT). The current practice location address for Tyler Allen Defriece is 670 Stoneleigh Ave, Carmel, NY 10512-3997 and can be reached out via phone at 845-790-1321.
Provider Profile Details
- NPI Number
- 1619617479
- Provider Name
- Tyler Allen Defriece
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 670 Stoneleigh Ave, Carmel, NY 10512-3997
- Phone Number
- 845-790-1321
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 30, 2022
- Last Update Date
- September 30, 2025
- Certification Date
- September 30, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 670 Stoneleigh Ave
Carmel, NY 10512-3997 - City
- Carmel
- State
- New York
- Zip
- 10512-3997
- Phone Number
- 845-790-1321
Provider Business Mailing Address Details
- Address
- 670 Stoneleigh Ave
Carmel, NY 10512-3997 - City
- Carmel
- State
- NY
- Zip
- 10512-3997
License Information
- License Number (1)
- 79679
- License State (1)
- CT
- Taxonomy (1)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Carmel, NY
View all Student in an Organized Health Care Education/Training Program providers in Carmel →Frequently Asked Questions
What is the NPI number of Dr. Tyler A Defriece, MD?
The NPI number of Dr. Tyler A Defriece, MD is 1619617479. It was assigned on March 30, 2022 and is currently active in the NPPES registry.
What is the specialty of Dr. Tyler A Defriece, MD?
Dr. Tyler A Defriece, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in CT under license number 79679.
Where does Dr. Tyler A Defriece, MD practice?
The practice location is 670 Stoneleigh Ave, Carmel, NY 10512-3997. The office can be reached at 845-790-1321 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619617479 directly on the NPPES registry website.