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NPI Code Detail

MEDICARE: MACIEJ TYNSKI MD

MEDICARE: MACIEJ TYNSKI 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
1207L00000XAnesthesiology Physician236482NY

Other Identifiers

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

General Provider Information

NPI Number : 1639146343
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACIEJ TYNSKI MD
Provider Business Mailing Address
First Line : 4511 HARLEM RD RM 3
Second Line :
City : AMHERST
State : NY
Zip : 14226-3822
Country : US
Telephone Number : 716-886-0444
Fax Number : 716-885-7070
Provider Business Practice Location Address
First Line : 3095 HARLEM RD
Second Line :
City : CHEEKTOWAGA
State : NY
Zip : 14225-2500
Country : US
Telephone Number : 716-896-3815
Fax Number : 716-896-3015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 10/23/2018

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Directions to “ MACIEJ TYNSKI MD” Practice Location

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