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1770530479
MWATA O DYSON
STONY BROOK, NY
NPI
1770530479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: AZ 33153)
Enumeration Date
2006-05-28
Last Update Date
2008-12-10
Business Address
-- MWATA O DYSON M.D.
100 NICOLLS RD HSC L4 RM 060
STONY BROOK, NY 11794-0001
Phone number: 631-444-2975
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Mailing Address
-- MWATA O DYSON M.D.
PO BOX 1559
STONY BROOK, NY 11790-0989
Phone number: 631-444-2975
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