DR. Tyler Phan, O.D.

NPI #1306250931 in Newburgh, New York

Provider Information

NPI Number
1306250931
Entity Type
Individual
Name
DR. Tyler Phan, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Jun 11, 2014
Last Updated
May 28, 2024

Practice Location

Address
147 LAKE ST
ZIP Code
12550-5263
Phone
(845) 563-8000

Specialties & Taxonomy Codes

Specialty
Optometrist

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