Tyrone Barnett
Individual provider Active NPI Contractor · New York, NY
NPI 1174291306 · NPPES record last updated Sep 2, 2021
Key facts
- NPI
- 1174291306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 515 Madison Ave FL 9
New York, NY 10022-5460 - Phone
- (845) 205-2756
- Fax
- (845) 367-5503
- NPI assigned
- Sep 2, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Le Kiong Huang MDPC | Current | Accepting new patients | |
| Sovereign Phoenix | Contractor | Current | Accepting new patients |
| Advanced Value Care, LLC | Contractor | Current |
Accepting new patients |
Locations
31 South St
Ste 3S8
Mount Vernon, NY 10550
Phone (845) 205-2756
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
515 Madison Ave FL 9
New York, NY 10022-5460
Mailing address
31 South St Ste 3S8
Mount Vernon, NY 10550-1752
Phone (845) 205-2756
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.