Search › New York › 1223G0001X
Tyler Maxwell
NPI 1396273298 · on the registry since 2017
Practice
- Address
- 511 E Genesee St
Fayetteville, NY 13066 - Phone
- (315) 637-4616
- Organisation at this address
- Julie L Riedl Inc
Green Lakes Dental, Llp
Mindbody Connection Massage & FitnessInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 90 Presidential Plz, Syracuse, NY
- 90 Presidential Plz, Syracuse, NY
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York