National Provider Identifier

Lyndon Scott Gritters, MD

Lyndon Scott Gritters, MD is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Jamestown, NY and a listed phone number of (716) 487-0141.

NPI 1841287927Jamestown, NYDiagnostic Radiology Physician

Profile Overview

NPI
1841287927
Provider Type
Individual
Primary Specialty
Diagnostic Radiology Physician
Enumeration Date
October 04, 2005
Last Updated
December 12, 2013

Practice Location

  • 207 Foote Ave
  • Jamestown, NY 14701-7077

Phone: (716) 487-0141

Mailing Address

  • 15 S Main St Ste 250
  • P O Box 788
  • Jamestown, NY 14701-6627

Specialties

  • Diagnostic Radiology Physician (2085R0202X)
Full Record
NPI
1841287927
Entity Type
Individual
Last Name
Gritters
First Name
Lyndon
Middle Name
Scott
Name Prefix
Mr.
Credential
MD
Mailing Street Address
15 S Main St Ste 250
Mailing Address Line 2
P O Box 788
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-6627
Mailing Country
US
Mailing Phone
(716) 664-9731
Mailing Fax
(716) 664-9160
Practice Street Address
207 Foote Ave
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-7077
Practice Country
US
Practice Phone
(716) 487-0141
Enumeration Date
October 04, 2005
Last Updated
December 12, 2013
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Diagnostic Radiology Physician (2085R0202X)
Other Identifiers
01658635 (NY), 300065047 (NY, Railroad Medicare), 2030583CR (NY, Workers Compensation)