MR. Timothy Gordon Dyster is a student in an organized health care education training program in New York, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Timothy Gordon Dyster NPI is 1083145692. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
100 HAVEN AVE
APT 27G
NEW YORK, NY
ZIP 10032-645
Phone: (716) 523-6958
The NPI 1083145692 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/24/2017 and was last updated on 3/24/2017.