Healthcare Provider Details

I. General information

NPI: 1689377160
Provider Name (Legal Business Name): TYLER JOSEPH SARKIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2023
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 YORK ST
NEW HAVEN CT
06510-3220
US

IV. Provider business mailing address

367 CEDAR ST HARKNESS BUILDING A - ROOM 311
NEW HAVEN CT
06510-3219
US

V. Phone/Fax

Practice location:
  • Phone: 203-688-4242
  • Fax:
Mailing address:
  • Phone: 516-376-0274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number84224
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: