Some questions about your result: How many piano tuners work at any of those piano tuner companies? How many piano tuner companies are not on yelp? How many piano tuners are employees of instrument stores instead of working freelance/for a tuner company?
Those are all harder to answer without industry information than the simple deductions the handout makes from common sense/knowledge.
I have the feeling it is important that people understand the limits of technology. Even though we like to say something doesn't exist if it isn't on Google, things very often do irregardless.
While this may be a good estimate, what about businesses not on Yelp?
"Professional Piano tuner" doesn't seem the most technologically advanced profession, so I think it's safe to assume that there are several, if not dozens more in existence in the NY area.
Searching for a seamstress in my town turns up a few results for dry cleaners. A look on craigslist returns a much larger result.
That said, I actually know a piano mover in NYC and he's not on Yelp, or any website. His business is very much conducted via word of mouth and physical exchange of business cards.