Dyer-Martin, Mary Kyle

Dyer-Martin, Mary Kyle is an individual health care provider with primary practice located at 2 Empire Dr Suite 100, Rensselaer NY 12144-5730. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dyer-Martin, Mary Kyle can be contacted via phone (518) 286-4899.

Contact Information

Primary practice address
2 Empire Dr Suite 100 Rensselaer NY 12144-5730
Fax: (518) 286-4859
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 212822 New York

Profile Details

NPI number 1659332575
LBN Legal business name Dyer-Martin, Mary Kyle
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated May 12th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659332575 NPPES
New York MEDICAID 02085243

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