Individual
TYLER PETER CESPITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6 TECHNOLOGY DR STE 100, EAST SETAUKET, NY 11733-4079
(631) 689-6698
(631) 751-5548
Mailing address
PO BOX 45776, BALTIMORE, MD 21297-5776
(631) 689-4173
(631) 675-8810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
026402
NY
Other
Enumeration date
01/05/2021
Last updated
07/27/2021
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