MEDICARE: SHARON P TYNDALL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	184322	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063598902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON P TYNDALL MD

Provider Business Mailing Address
First Line	:	165 MAIN ST
Second Line	:
City	:	OSSINING
State	:	NY
Zip	:	10562-4702
Country	:	US
Telephone Number	:	914-941-1263
Fax Number	:	914-941-0993

Provider Business Practice Location Address
First Line	:	5 GRACE CHURCH ST
Second Line	:
City	:	PORT CHESTER
State	:	NY
Zip	:	10573-4911
Country	:	US
Telephone Number	:	914-937-8899
Fax Number	:	914-937-7932

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	04/15/2025

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