Individual
TYLER RUEMMELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-2500
Mailing address
37 EGREMONT RD APT 2, BOSTON, MA 02135-7332
(952) 250-3312
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA101129
MA
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
01/21/2026
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