Individual
KATHLEEN DYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3725 N BUFFALO ST, SUITE A, ORCHARD PARK, NY 14127-1853
(716) 662-2300
(716) 662-2057
Mailing address
3725 N BUFFALO ST, SUITE A, ORCHARD PARK, NY 14127-1853
(716) 662-2300
(716) 662-2057
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
209548-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02273274
—
NY
Enumeration date
06/01/2006
Last updated
04/17/2012
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