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NPI Code Detail

MEDICARE: MRS. CHAYA NECHAMA TYBERG

MEDICARE: MRS. CHAYA NECHAMA TYBERG
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
1174400000XSpecialist

General Provider Information

NPI Number : 1144824988
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHAYA NECHAMA TYBERG
Provider Business Mailing Address
First Line : 1321 45TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2102
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1321 45TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2102
Country : US
Telephone Number : 347-675-4356
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2020
Last Update Date : 11/23/2020

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Directions to “ MRS. CHAYA NECHAMA TYBERG ” Practice Location

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