National Provider Identifier
Michael Todd Tyson X
Michael Todd Tyson X is listed in the NPPES registry with a primary specialty of Driver in Rochester, NY and a listed phone number of (585) 532-0636.
Source: public NPPES record, last updated July 21, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1184147142
- Provider Type
- Individual
- Primary Specialty
- Driver
- Enumeration Date
- July 21, 2017
- Last Updated
- July 21, 2022
Practice Location
- 696 Woodbine Ave
- Rochester, NY 14619-2030
Phone: (585) 532-0636
Specialties
- Driver (172A00000X)
Browse Similar Providers
See more Driver providers in Rochester, NY.
Full Record
- NPI
- 1184147142
- Entity Type
- Individual
- Last Name
- Tyson
- First Name
- Michael
- Middle Name
- Todd
- Name Prefix
- Mr.
- Name Suffix
- X
- Mailing Street Address
- 696 Woodbine Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-2030
- Mailing Country
- US
- Mailing Phone
- (585) 532-0636
- Practice Street Address
- 696 Woodbine Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14619-2030
- Practice Country
- US
- Practice Phone
- (585) 532-0636
- Enumeration Date
- July 21, 2017
- Last Updated
- July 21, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Driver (172A00000X)