Healthcare Provider Details

I. General information

NPI: 1992647697
Provider Name (Legal Business Name): MEG TYNER PHYSICAL THERAPY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 HARRISON ST STE 1
NEW YORK NY
10013-2871
US

IV. Provider business mailing address

10 SLOCUM PL APT 4E
BROOKLYN NY
11218-4364
US

V. Phone/Fax

Practice location:
  • Phone: --
  • Fax:
Mailing address:
  • Phone: --
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MEG TYGER TYNER
Title or Position: OWNER
Credential:
Phone: --