Leo Michael Michalek in Lackawanna - General Practice
Leo Michael Michalek - NPI 1003801366
Leo Michael Michalek is a General Practice in Lackawanna, New York. Leo Michael Michalek practices all healthcare services and medical treatments related to General Practice. The NPI Number for Leo Michael Michalek is 1003801366. The last update date is 2010-05-05.
Leo Michael Michalek's current location address is 561 Ridge Rd, Lackawanna, New York. You can contact this provider via phone number 7168230141 and fax number 7168225468. The mailing address for Leo Michael Michalek is 561 Ridge Rd, Lackawanna, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leo Michael Michalek |
|---|---|
| Address | 561 Ridge Rd, Lackawanna, New York |
| Phone Number | 7168230141 |
| Fax Number | 7168225468 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1003801366 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2010-05-05 |
Provider Mailing Address Detail
| Address | 561 Ridge Rd |
|---|---|
| City | Lackawanna |
| State | New York (NY) |
| Post Code | 142181319 |
| Phone Number | 7168230141 |
| Fax Number | 7168225468 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 94920 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10118401 | UNIVERA | ||
| 601643 | NY | -- | |
| 505334001 | BCBS | ||
| 1700291 | IHA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Leo Michael Michalek by the Centers for Medicare & Medicaid Services?
The Leo Michael Michalek has been assigned the NPI (National Provider Identifier) 1003801366 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Leo Michael Michalek located?
The Leo Michael Michalek is located at 561 Ridge Rd, Lackawanna, NY 142181319.
What is the Leo Michael Michalek's specialty and taxonomy code?
The Leo Michael Michalek's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003801366 to Leo Michael Michalek?
The Centers for Medicare & Medicaid Services originally issued the 1003801366 to Leo Michael Michalek on 2005-09-13.
As of what date were the details related to Leo Michael Michalek most recently updated or revised?
The information pertaining to Leo Michael Michalek, including its address, specialty, and other relevant details, was last updated or revised on 2010-05-05.