Organization
SATURN RADIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY G DEZASTRO M.D. (PRESIDENT)
(716) 912-0075
Entity
Organization
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 912-0075
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 912-0075
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598723017
NPI
NY
Enumeration date
04/20/2009
Last updated
04/20/2009
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