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

Tyler Richard Warner I, PA-C

Individual provider Physician Assistant · NPI 1326698663

Tyler Richard Warner I, PA-C is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

622 W 168th St Ste VC260
New York, NY 10032-3720
Phone: (212) 305-5069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 024001 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1326698663
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 18, 2019
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024

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