Individual provider · Type 1 NPI

Michael Todd Tyson X

Driver · Rochester, NY

NPI number 1184147142 Active

Practice location

696 Woodbine Ave
Rochester, NY 14619-2030

Call (585) 532-0636 Map

Other practice locations

  • 696 Woodbine Ave, Rochester, NY 14619-2030 · (585) 532-0636

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X760970342 (NY)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1184147142

Michael Todd Tyson X's National Provider Identifier is 1184147142, issued on Jul 21, 2017. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Rochester, NY. The record was last updated on Jul 21, 2022.