Individual provider · Type 1 NPI

Tyler Richard Chenel

Surgical Physician Assistant · Albany, NY

NPI number 1225222979 Active

Practice location

315 S Manning Blvd
Albany, NY 12208-1707

Call (518) 488-7292 Map

Fax (518) 525-6815

Mailing address

PO Box 14890
Albany, NY 12212-4890

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XP58357 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1225222979

Tyler Richard Chenel's National Provider Identifier is 1225222979, issued on Sep 5, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Albany, NY. The record was last updated on May 12, 2021.