MEDICARE: TYLER JAMES SAVORY D.C

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	111N00000X	Chiropractor	X012485-1	NY
2	111N00000X	Chiropractor	012485	NY

General Provider Information

NPI Number	:	1609323518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLER JAMES SAVORY D.C

Provider Business Mailing Address
First Line	:	39 W 14TH ST STE 507
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-7403
Country	:	US
Telephone Number	:	917-261-7090
Fax Number	:

Provider Business Practice Location Address
First Line	:	39 W 14TH ST STE 507
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-7403
Country	:	US
Telephone Number	:	917-261-7090
Fax Number	:

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

Provider Enumeration Date	:	09/08/2016
Last Update Date	:	04/27/2023

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