Timothy Dezastro in Buffalo - Diagnostic Radiology
Timothy Dezastro - NPI 1598723017
Timothy Dezastro is a Diagnostic Radiology in Buffalo, New York. Timothy Dezastro practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Timothy Dezastro is 1598723017. The last update date is 2008-05-13.
Timothy Dezastro's current location address is 222 Genesee St, Buffalo, New York. You can contact this provider via phone number 7168552866 and fax number 7168552860. The mailing address for Timothy Dezastro is 222 Genesee St, Buffalo, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Dezastro |
|---|---|
| Address | 222 Genesee St, Buffalo, New York |
| Phone Number | 7168552866 |
| Fax Number | 7168552860 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1598723017 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2008-05-13 |
Provider Mailing Address Detail
| Address | 222 Genesee St |
|---|---|
| City | Buffalo |
| State | New York (NY) |
| Post Code | 14203 |
| Phone Number | 7168552866 |
| Fax Number | 7168552860 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 1781211 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CRDRA178121 | NY | WORKERS COMPENSATION | |
| P00003640 | RAILROAD MEDICARE | ||
| 525009025 | BLUE SHIELD OF WESTERN NY | ||
| 145797FF | PREFERRED CARE | ||
| 525009022 | BLUE SHIELD OF WESTERN NY | ||
| RB6952 | MEDICARE | ||
| 525009016 | BLUE SHIELD OF WESTERN NY | ||
| 1607547 | NY | -- | |
| 300138602 | RAILROAD MEDICARE | ||
| 5609880 | INDEPENDENT HEALTH |
Post Comment/ Review Below
What is the unique identification code assigned to Timothy Dezastro by the Centers for Medicare & Medicaid Services?
The Timothy Dezastro has been issued the NPI (National Provider Identifier) 1598723017. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Timothy Dezastro's facilities are geographically located?
The facilities of Timothy Dezastro are physically situated at the following location: 222 Genesee St, Buffalo, NY, 14203.
What is Timothy Dezastro's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Timothy Dezastro is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services assign the 1598723017 to Timothy Dezastro?
The Centers for Medicare & Medicaid Services assigned the 1598723017 to Timothy Dezastro on 2006-05-03.
As of what date were the Timothy Dezastro's details last updated?
The information pertaining to the Timothy Dezastro, including its address, specialty, and other details, was most recently updated on 2008-05-13.