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

Jack Tyson

Individual provider Registered Nurse · NPI 1770428179

Jack Tyson is a Registered Nurse in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

40 Flatbush Avenue Ext
Brooklyn, NY 11201-2903
Phone: (718) 215-1818
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence N32590 (NY)

Record details

NPI number1770428179
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 21, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address40 Flatbush Avenue Ext, Brooklyn, NY 11201-2903

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