Michael J Pietrusik in Lackawanna - Podiatrist
Michael J Pietrusik - NPI 1356368864
Michael J Pietrusik is a Podiatrist in Lackawanna, New York. Michael J Pietrusik practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Michael J Pietrusik is 1356368864. The last update date is 2011-10-14.
Michael J Pietrusik's current location address is 3277 South Park Avenue, Lackawanna, New York. You can contact this provider via phone number 7168223411 and fax number 7168220215. The mailing address for Michael J Pietrusik is 3277 South Park Avenue, Lackawanna, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J Pietrusik |
|---|---|
| Address | 3277 South Park Avenue, Lackawanna, New York |
| Phone Number | 7168223411 |
| Fax Number | 7168220215 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1356368864 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2011-10-14 |
Provider Mailing Address Detail
| Address | 3277 South Park Avenue |
|---|---|
| City | Lackawanna |
| State | New York (NY) |
| Post Code | 142183527 |
| Phone Number | 7168223411 |
| Fax Number | 7168220215 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | NOO36341 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 845978 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael J Pietrusik by the Centers for Medicare & Medicaid Services (CMS)?
The Michael J Pietrusik has been assigned the NPI (National Provider Identifier) 1356368864. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Michael J Pietrusik is located?
The Michael J Pietrusik is situated at the following address: 3277 South Park Avenue, Lackawanna, NY, 142183527.
What is Michael J Pietrusik's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michael J Pietrusik is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date did the Michael J Pietrusik receive the assignment of its 1356368864 from the Centers for Medicare & Medicaid Services?
The Michael J Pietrusik was issued its 1356368864 by the Centers for Medicare & Medicaid Services on 2006-07-17.
When was the information regarding Michael J Pietrusik most recently updated?
The details pertaining to the Michael J Pietrusik, including its address, specialty, and other relevant information, were last refreshed on 2011-10-14.
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