Ty Daniel Agaisse, MD
Ty Daniel Agaisse, MD is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2025.
- Licensed in
- RI
- In the registry since
- 2025
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
593 Eddy StProvidence, RI 02903-4923
Phone: (401) 444-4165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (RI) |
|---|
Record details
| NPI number | 1275337859 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 2, 2025 |
| Last updated in NPPES | May 2, 2025 |
| Certification date | May 2, 2025 |
| Mailing address | 593 Eddy St, Providence, RI 02903-4923 |
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Keith Bertrand Adler, MD
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Dr. Harrison Nimo Agyeman, MD
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