Individual
MARY KYLE DYER-MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2 EMPIRE DR, SUITE 100, RENSSELAER, NY 12144-5730
(518) 286-4899
(518) 286-4859
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
212822
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02085243
—
NY
Enumeration date
03/30/2006
Last updated
05/12/2021
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