Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodore Tyberg MD

Organization Medical Specialty Clinic/Center · NPI 1811472616

Theodore Tyberg MD is a Medical Specialty Clinic/Center in New York, New York. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

407 E 70th St
New York, NY 10021-5327
Phone: (646) 850-6577
Fax: (646) 998-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X

Record details

NPI number1811472616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Tyberg — President · (646) 850-6577
NPI enumeratedSeptember 27, 2018
Last updated in NPPESSeptember 27, 2018
Mailing address407 E 70th St Fl 4, New York, NY 10021-5352

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