Dyson, Kathleen

Dyson, Kathleen is an individual health care provider with primary practice located at 3725 N Buffalo St Suite A, Orchard Park NY 14127-1853. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dyson, Kathleen can be contacted via phone (716) 662-2300.

Contact Information

Primary practice address
3725 N Buffalo St Suite A Orchard Park NY 14127-1853
Fax: (716) 662-2057
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 209548-1 New York

Profile Details

NPI number 1356388029
LBN Legal business name Dyson, Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Apr 17th, 2012 - about 12 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 1356388029 NPPES
New York MEDICAID 02273274

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