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1811472616
THEODORE TYBERG MD
NEW YORK, NY
NPI
1811472616
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Entity Type
Organization
Authorized Contact
THEODORE TYBERG
President
646-850-6577
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2018-09-27
Last Update Date
2018-09-27
Business Address
THEODORE TYBERG MD
407 E 70TH ST
NEW YORK, NY 10021-5327
Phone number: 646-850-6577
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Mailing Address
THEODORE TYBERG MD
407 E 70TH ST FL 4
NEW YORK, NY 10021-5352
Phone number: 646-850-6577
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