BENJAMIN TYCKO M.D. PH.D. NPI 1578690665

NPI Information

  • NPI: 1578690665
  • Provider Name: BENJAMIN TYCKO, M.D., PH.D.
  • Classification: Pathology - 207ZP0101X
  • Specialization: Anatomic Pathology
  • Entity Type: Individual
  • Address: 622 W 168TH ST
    PH 1564W
    NEW YORK, NY
    ZIP 10032
  • Phone: (212) 305-7399

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NPI Details

Benjamin Tycko, M.D., PH.D. is an anatomic pathology pathology in New York, NY. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Benjamin Tycko, M.D., PH.D. NPI is 1578690665. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

622 W 168TH ST
PH 1564W
NEW YORK, NY
ZIP 10032-720
Phone: (212) 305-7399

The enumeration date for this NPI number is 2/27/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0101XPathologyAnatomic Pathology185482-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
134H711MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
2F48317MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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