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
Phone: (212) 752-2000
Fax: (212) 752-5822
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538157011 | NPPES |
| Other | 6603052 | GHI | |
| Other | NY9721 | GHI | |
| Other | P3592993 | GHI |
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