Individual
TYLER VITERISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4901 LAC DE VILLE BLVD BLDG D, ROCHESTER, NY 14618-5647
(585) 341-9165
Mailing address
4901 LAC DE VILLE BLVD, ROCHESTER, NY 14618-5647
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
0435061
NY
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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