MEDICARE: TYLER EGLAUF

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	014047	NY

General Provider Information

NPI Number	:	1720934326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLER EGLAUF

Provider Business Mailing Address
First Line	:	30 GREENRIDGE AVE STE 2K
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-1266
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 GREENRIDGE AVE STE 2K
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-1266
Country	:	US
Telephone Number	:	914-703-9800
Fax Number	:

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

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “ TYLER EGLAUF ” Practice Location

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