Healthcare Provider Details

I. General information

NPI: 1982192746
Provider Name (Legal Business Name): DYLAN TANZER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2018
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ERIE COUNTY MEDICAL CENTER, DK MILLER BUILDING 462 GRIDER STREET, 3RD FLOOR
BUFFALO NY
14215
US

IV. Provider business mailing address

ERIE COUNTY MEDICAL CENTER, DK MILLER BUILDING 462 GRIDER STREET, 3RD FLOOR
BUFFALO NY
14215
US

V. Phone/Fax

Practice location:
  • Phone: 716-898-3627
  • Fax: 716-898-5029
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number334000
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number334000
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: