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Theodore Tyberg Md
Medical Specialty Clinic/Center in New York, New York
NPI 1811472616

Theodore Tyberg Md is a Medical Specialty Clinic/Center based in New York, NY and is specialized in Medical Specialty. Theodore Tyberg Md practices in New York, NY. The NPI Number for Theodore Tyberg Md is 1811472616 and holds a License No. (New York).

The current practice location address for Theodore Tyberg Md is 407 E 70Th St, New York, NY and can be reached out via phone at 646-850-6577 and via fax at 646-998-5050.

Location: 407 E 70Th St, New York, NY, 10021-5352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811472616
Provider Name
Theodore Tyberg Md
Credential
Provider Entity Type
Organization
Address
407 E 70Th St, New York, NY, 10021-5352
Phone Number
646-850-6577
Fax Number
646-998-5050
Provider Enumeration Date
09/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
407 E 70Th St
City
New York
State
New York
Zip
10021-5327
Phone Number
646-850-6577
Fax Number
646-998-5050
person
Provider Business Mailing Address Details
Address
407 E 70Th St
City
New York
State
New York
Zip
10021-5327
Phone Number
646-850-6577
Fax Number
646-998-5050
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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