Individual
DR. GEORGE WALTER TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 HIGHWOOD RD, SETAUKET, NY 11733-1526
(631) 689-0570
Mailing address
25 HIGHWOOD RD, SETAUKET, NY 11733-1526
(631) 689-0570
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
153174
NY
Other
Enumeration date
01/13/2014
Last updated
08/02/2016
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