NPI 1003534694
Tyler Grant, RN
Practice location
- Address
- 301 Prospect Ave, Syracuse, NY 13203-1807
- Phone
- (315) 448-5111
- Mailing address
- 1305 Walt Whitman Rd STE 300, Melville, NY 11747-4300
Registered specialties (2)
Certified Registered Nurse Anesthetist
Primary
Registered Nurse
Registry record
- NPI
- 1003534694
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Aug 2022
- Record last updated
- 19 Dec 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.