Timothy Dezastro

Medical doctor

Buffalo, United States

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Full name

TIMOTHY DEZASTRO

Job Title

Medical Doctor

Location

Buffalo, NY, USA

LIC ID

128641

Current License Expiration Date

31/01/2026

Original Date

08/07/2016

Professional Rank Code

Effective Date

08/07/2016

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

Out of State

Practice Location Address Line 1

4300 N MIller Rd

Practice Location Address City

SCOTTSDALE

Practice Location Address State

Practice Location Address Zipcode

85251

Prescribing Indicator

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