Dyer, Patricia L

Dyer, Patricia L is an sole proprietor health care provider with primary practice located at 1520 E Delavan Ave , Buffalo NY 14215-3946. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Dyer, Patricia L can be contacted via phone (716) 308-6302.

Contact Information

Primary practice address
1520 E Delavan Ave Buffalo NY 14215-3946
Fax: (617) 608-0485
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F381522 New York

Profile Details

NPI number 1801885074
LBN Legal business name Dyer, Patricia L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Jul 8th, 2007 - about 17 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 1801885074 NPPES
New York MEDICAID 02357633

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