Dyster, Timothy George

Dyster, Timothy George is an individual health care provider with primary practice located at 5300 Military Rd , Lewiston NY 14092-1903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Dyster, Timothy George can be contacted via phone (716) 298-2356.

Contact Information

Primary practice address
5300 Military Rd Lewiston NY 14092-1903
Phone: (716) 298-2356
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 174697-1 New York

Profile Details

NPI number 1477534741
LBN Legal business name Dyster, Timothy George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Sep 16th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477534741 NPPES
New York MEDICAID 01210604

Popular Providers