Individual
DR. MICHAEL DYLAN TINNESZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203
(716) 691-8838
(716) 564-1134
Mailing address
6 FOUNTAIN PLZ, BUFFALO, NY 14202-2211
(716) 691-8838
(716) 564-1134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2256321
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026552001
UNIVERA HEALTHCARE
NY
01
—
000527809002
BLUE CROSS BLUE SHIELD
NY
05
—
02628260
—
NY
01
—
050110000088
FIDELIS
NY
01
—
3994268
INDEPENDENT HEALTH
NY
01
—
P00038676
RAILROAD MEDICARE
NY
Enumeration date
06/03/2006
Last updated
09/10/2014
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