National Provider Identifier

Timothy George Dyster, M.D.

Timothy George Dyster, M.D. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Lewiston, NY and a listed phone number of (716) 298-2356.

NPI 1477534741Lewiston, NYDiagnostic Radiology Physician

Profile Overview

NPI
1477534741
Provider Type
Individual
Primary Specialty
Diagnostic Radiology Physician
Enumeration Date
November 14, 2005
Last Updated
September 16, 2021

Practice Location

  • 5300 Military RD
  • Lewiston, NY 14092-1903

Phone: (716) 298-2356

Mailing Address

  • PO Box 8000 Dept 570
  • Buffalo, NY 14267-0002

Specialties

  • Diagnostic Radiology Physician (2085R0202X)
Full Record
NPI
1477534741
Entity Type
Individual
Last Name
Dyster
First Name
Timothy
Middle Name
George
Credential
M.D.
Mailing Street Address
PO Box 8000 Dept 570
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14267-0002
Mailing Country
US
Mailing Phone
(716) 298-2356
Practice Street Address
5300 Military RD
Practice City
Lewiston
Practice State
NY
Practice ZIP Code
14092-1903
Practice Country
US
Practice Phone
(716) 298-2356
Enumeration Date
November 14, 2005
Last Updated
September 16, 2021
Sex
Male
Sole Proprietor
No
Certification Date
September 16, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Diagnostic Radiology Physician (2085R0202X)
Other Identifiers
01210604 (NY)