National Provider Identifier
Tyler Stephen, MD
Tyler Stephen, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (855) 275-0526.
Profile Overview
- NPI
- 1861929812
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- May 20, 2017
- Last Updated
- July 14, 2021
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-7141
Phone: (855) 275-0526
Mailing Address
- 601 Elmwood Ave Box 689
- Rochester, NY 14642-0001
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1861929812
- Entity Type
- Individual
- Last Name
- Stephen
- First Name
- Tyler
- Credential
- MD
- Mailing Street Address
- 601 Elmwood Ave Box 689
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (855) 275-2222
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-7141
- Practice Country
- US
- Practice Phone
- (855) 275-0526
- Enumeration Date
- May 20, 2017
- Last Updated
- July 14, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 14, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)