Individual provider · Type 1 NPI
Tyler David Owitz, NP
Family Nurse Practitioner · Phoenicia, NY
NPI number
1467176248
Active
Practice location
9 Ava Maria Dr
Phoenicia, NY 12464-5102
Fax (845) 338-7141
Mailing address
360 Washington Ave
Kingston, NY 12401-3702
Other practice locations
- 9 Elwyn Ln, Woodstock, NY 12498-1301 · (845) 338-7140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 349957 (NY) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1467176248
Tyler David Owitz, NP's National Provider Identifier is 1467176248, issued on Sep 27, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenicia, NY. The record was last updated on Sep 27, 2022.