Tyberg, Theodore I

Tyberg, Theodore I is an individual health care provider with primary practice located at 425 E 61St St 6Th Floor, New York NY 10065-8795. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Tyberg, Theodore I can be contacted via phone (212) 752-2000.

Contact Information

Primary practice address
425 E 61St St 6Th Floor New York NY 10065-8795
Fax: (212) 752-5822
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 127630 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 127630 New York

Profile Details

NPI number 1538157011
LBN Legal business name Tyberg, Theodore I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Mar 18th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538157011 NPPES
Other 6603052 GHI
Other NY9721 GHI
Other P3592993 GHI

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