Dr Richard James Tyler Jr, MD | |
4811 Buckley Rd, Liverpool, NY 13088-3676 | |
(518) 488-8193 | |
(315) 457-9854 |
Full Name | Dr Richard James Tyler Jr |
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Gender | Male |
Speciality | Pediatrics |
Location | 4811 Buckley Rd, Liverpool, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1578910147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 300226 (New York) | Primary |
Entity Name | Thundermist Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700041001 PECOS PAC ID: 1557270477 Enrollment ID: O20040211000909 |
Mailing Address | Practice Location Address |
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Dr Richard James Tyler Jr, MD 750 E Adams St, Syracuse, NY 13210-2306 Ph: (518) 488-8193 | Dr Richard James Tyler Jr, MD 4811 Buckley Rd, Liverpool, NY 13088-3676 Ph: (518) 488-8193 |
Meghan Dambach, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 | |
Brenda R Van Fossen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7375 Oswego Rd, Liverpool, NY 13090 Phone: 315-291-0064 Fax: 315-291-0065 | |
Nicole Autumn Mirjafari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5100 W Taft Rd Ste 1b, Liverpool, NY 13088 Phone: 239-343-9888 Fax: 239-303-0714 | |
Mrs. Maritza Alvarado, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 Fax: 315-457-9854 | |
Mrs. Angelle M Cresswell, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Garnoch Ct, Liverpool, NY 13090 Phone: 315-457-0872 | |
Dr. Mary V Green, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 Fax: 315-457-9854 | |
Fozia Bakshi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 Fax: 315-379-4900 |