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1598723017
TIMOTHY DEZASTRO
BUFFALO, NY
NPI
1598723017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NY 1781211)
Enumeration Date
2006-05-03
Last Update Date
2008-05-13
Business Address
-- TIMOTHY DEZASTRO MD
222 GENESEE ST
BUFFALO, NY 14203
Phone number: 716-855-2866
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Mailing Address
-- TIMOTHY DEZASTRO MD
PO BOX 8000 DEPT 836
BUFFALO, NY 14267
Phone number:
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