Individual provider · Type 1 NPI

Sean Fitzgerald Tyndall

Student in an Organized Health Care Education/Training Program · Syracuse, NY

NPI number 1366020943 Active

Practice location

750 E Adams St
Syracuse, NY 13210-2306

Call (315) 464-3100 Map

Fax (315) 464-3178

Mailing address

24127 County Route 159
Watertown, NY 13601-4285

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366020943

Sean Fitzgerald Tyndall's National Provider Identifier is 1366020943, issued on Apr 1, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Syracuse, NY. The record was last updated on Apr 1, 2021.