Dyson, Mwata O
Dyson, Mwata O is an sole proprietor health care provider with primary practice located at 100 Nicolls Rd Hsc L4 Rm 060, Stony Brook NY 11794-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Dyson, Mwata O can be contacted via phone (631) 444-2975.Contact Information
Primary practice address
100 Nicolls Rd Hsc L4 Rm 060
Stony Brook NY 11794-0001
Phone: (631) 444-2975
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 33153 | Arizona |
Profile Details
| NPI number | 1770530479 |
|---|---|
| LBN Legal business name | Dyson, Mwata O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2006 |
| Last updated | Dec 10th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770530479 | NPPES |
| Arizona | MEDICAID | 882771 |
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