Timothy Dezastro is a Diagnostic Radiology Physician based in Buffalo, NY and is specialized in Diagnostic Radiology. Timothy Dezastro practices in Buffalo, NY and has the professional credentials of MD. The NPI Number for Timothy Dezastro is 1598723017 and holds a License No. 1781211 (New York).
The current practice location address for Timothy Dezastro is 222 Genesee St, Buffalo, NY and can be reached out via phone at 716-855-2866 and via fax at 716-855-2860.
Identifier | Type | State | Issuer |
---|---|---|---|
CRDRA178121 | 01 | NY | WORKERS COMPENSATION |
P00003640 | 01 | RAILROAD MEDICARE | |
000525009025 | 01 | BLUE SHIELD OF WESTERN NY | |
145797FF | 01 | PREFERRED CARE | |
000525009022 | 01 | BLUE SHIELD OF WESTERN NY | |
RB6952 | 01 | MEDICARE | |
000525009016 | 01 | BLUE SHIELD OF WESTERN NY | |
01607547 | 05 | NY | |
300138602 | 01 | RAILROAD MEDICARE | |
5609880 | 01 | INDEPENDENT HEALTH |
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