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

Tyler Connine

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457814972

Tyler Connine is an Emergency Medicine in Buffalo, New York. Qualified in 2022, 4 years ago. Practices with Emergency Physicians of Tidewater, a 165-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

77 Goodell St Ste 340
Buffalo, NY 14203-1243
Phone: (716) 645-9707
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Record details

NPI number1457814972
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2019
Last updated in NPPESApril 11, 2019
Mailing address77 Goodell St Ste 340, Buffalo, NY 14203-1243

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Emergency Physicians Of Tidewater — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Buffalo