Individual
CHRISTOPHER TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
150 CHESTNUT ST, PROVIDENCE, RI 02903-4645
(833) 229-0957
Mailing address
711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016719
NY
Other
Enumeration date
07/11/2013
Last updated
11/26/2019
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