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Mr. Michael Todd Tyson X
Driver in Rochester, New York
NPI 1184147142

Michael Todd Tyson X is a Driver based in Rochester, NY. Michael Todd Tyson X practices in Rochester, NY. The NPI Number for Michael Todd Tyson X is 1184147142 and holds a License No. 760970342 (New York).

The current practice location address for Michael Todd Tyson X is 696 Woodbine Ave, Rochester, NY and can be reached out via phone at 585-532-0636.

Location: 696 Woodbine Ave, Rochester, NY, 14619-2030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184147142
Provider Name
Michael Todd Tyson X
Credential
Provider Entity Type
Individual
Gender
Male
Address
696 Woodbine Ave, Rochester, NY, 14619-2030
Phone Number
585-532-0636
Fax Number
Provider Enumeration Date
07/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
696 Woodbine Ave
City
Rochester
State
New York
Zip
14619-2030
Phone Number
585-532-0636
Fax Number
person
Provider Business Mailing Address Details
Address
696 Woodbine Ave
City
Rochester
State
New York
Zip
14619-2030
Phone Number
585-532-0636
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
760970342 (New York)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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