MR. MICHAEL TYSON X

Driver

Active Individual
NPI: 1184147142

Practice Address

696 WOODBINE AVE
Rochester, NY 14619

Phone: (585) 532-0636

Specialties

Specialty Code Primary License
Driver 172A00000X Yes 760970342 (NY)

Frequently Asked Questions

NPI 1184147142 is the National Provider Identifier for MR. MICHAEL TYSON X, a Driver provider located in Rochester, NY. This NPI was enumerated on July 21, 2017.
MR. MICHAEL TYSON X practices at 696 WOODBINE AVE, Rochester, NY 14619.

Quick Facts

NPI
1184147142
Type
Individual
Enumerated
Jul 21, 2017
Last Updated
Jul 21, 2022

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