SEAN FITZGERALD TYNDALL
NPI 1366020943
Student in an Organized Health Care Education/Training Program in Syracuse, NY

Q: What is Sean Tyndall's NPI number?

The NPI number for Sean Tyndall is 1366020943. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Sean Tyndall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sean Tyndall was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 01, 2021PECOS Enrolled

750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-3100(315) 464-3178 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sean Fitzgerald Tyndall NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEAN FITZGERALD TYNDALL (NPI 1366020943) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366020943

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSEAN FITZGERALD TYNDALL

Location Address750 E ADAMS STSyracuse, NY 13210-2306

Mailing Address24127 County Route 159Watertown, NY 13601-4285 · (908) 723-4566

Phone(315) 464-3100

Fax(315) 464-3178

Sole ProprietorYes

Enumeration DateApril 1, 2021

NPPES CertifiedApril 1, 2021

✔ NPI 1366020943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

750 E ADAMS ST, Syracuse, NY 13210

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean Fitzgerald Tyndall is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID M KANTER MD

Physical Medicine & Rehabilitation