Dyster, John G
Dyster, John G is an individual health care provider with primary practice located at 4600 Military Rd Ste A , Niagara Falls NY 14305-1338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dyster, John G can be contacted via phone (716) 298-4050.Contact Information
Primary practice address
4600 Military Rd Ste A
Niagara Falls NY 14305-1338
Phone: (716) 298-4050
Fax: (716) 298-4098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 166794 | New York |
Profile Details
| NPI number | 1952309163 |
|---|---|
| LBN Legal business name | Dyster, John G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Oct 1st, 2019 - about 5 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 | 1952309163 | NPPES |
| New York | MEDICAID | 01023394 |
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