Individual
MICHAEL THOMAS DYLAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 TAFT PT, UNIT 4, WATERBURY, CT 06708-5905
(516) 663-8312
Mailing address
111 TAFT PT, UNIT 4, WATERBURY, CT 06708-5905
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
19849
NY
Other
Enumeration date
07/12/2016
Last updated
06/28/2023
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