Individual
MR. TYLER BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
570 LEXINGTON AVE FL 9, NEW YORK, NY 10022-6710
(646) 962-7277
Mailing address
570 LEXINGTON AVE FL 9, NEW YORK, NY 10022-6710
(646) 962-7277
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
026974
NY
363AS0400X
Surgical Physician Assistant
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2020
Last updated
08/06/2021
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