National Provider Identifier
Tyler K Harasta, MD
Tyler K Harasta, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Webster, NY and a listed phone number of (585) 690-0778.
Profile Overview
- NPI
- 1215503362
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- May 31, 2021
- Last Updated
- May 31, 2021
Practice Location
- 527 Bay Meadow Dr
- Webster, NY 14580-4001
Phone: (585) 690-0778
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1215503362
- Entity Type
- Individual
- Last Name
- Harasta
- First Name
- Tyler
- Middle Name
- K
- Credential
- MD
- Mailing Street Address
- 527 Bay Meadow Dr
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-4001
- Mailing Country
- US
- Mailing Phone
- (585) 690-0778
- Practice Street Address
- 527 Bay Meadow Dr
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-4001
- Practice Country
- US
- Practice Phone
- (585) 690-0778
- Enumeration Date
- May 31, 2021
- Last Updated
- May 31, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 31, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)