Individual provider · Type 1 NPI

Tyler Allen Defriece, MD

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

NPI number 1619617479 Active

Practice location

670 Stoneleigh Ave
Carmel, NY 10512-3997

Call (845) 790-1321 Map

Other practice locations

  • 189 Storrs Rd, Mansfield Center, CT 06250-1683 · (860) 456-1311

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X79679 (CT)
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 1619617479

Tyler Allen Defriece, MD's National Provider Identifier is 1619617479, issued on Mar 30, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Carmel, NY. The record was last updated on Sep 30, 2025.