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Individual

DR. DARYLL C. DYKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6620 FLY ROAD, SUITE 200, EAST SYARUSE, NY 13057
(315) 464-3619
(315) 464-5222
Mailing address
6620 FLY ROAD, SUITE 200, EAST SYARUSE, NY 13057
(315) 464-3619
(315) 464-5222

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
40550
MN
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
292638-01
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05268328
NY
05
876483200
MN
Enumeration date
05/30/2006
Last updated
08/06/2020
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