MEDICARE: DR. LORI DYER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	044721	CT
2	208800000X	Urology Physician	2185341	NY
3	2088P0231X	Pediatric Urology Physician	2185341	NY
4	2088P0231X	Pediatric Urology Physician	044721	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851329254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORI DYER MD

Provider Business Mailing Address
First Line	:	150 WHITE PLAINS RD STE 306
Second Line	:
City	:	TARRYTOWN
State	:	NY
Zip	:	10591-5521
Country	:	US
Telephone Number	:	914-493-8628
Fax Number	:	914-493-8564

Provider Business Practice Location Address
First Line	:	150 WHITE PLAINS RD
Second Line	:	SUITE 306
City	:	TARRYTOWN
State	:	NY
Zip	:	10591-5535
Country	:	US
Telephone Number	:	914-493-8628
Fax Number	:	914-493-8564

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	11/12/2025

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Directions to “ DR. LORI DYER MD” Practice Location

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