Individual provider · Type 1 NPI
Jenny Tyre
Specialist · Remsen, NY
NPI number
1891614475
Active
Practice location
9636 Main St Apt A
Remsen, NY 13438-3831
Mailing address
PO Box 296
Remsen, NY 13438-0296
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 2529198 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1891614475
Jenny Tyre's National Provider Identifier is 1891614475, issued on Jul 15, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Remsen, NY. The record was last updated on Jul 15, 2026.