Michael J Pietrusik Dpm
NPI #1194901611 in Lackawanna, New York
Provider Information
- NPI Number
- 1194901611
- Entity Type
- Organization
- Organization Name
- Michael J Pietrusik Dpm
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 15, 2008
- Last Updated
- Jan 15, 2008
Practice Location
- Address
- 3277 S PARK AVE
- City
- Lackawanna
- State
- New York
- ZIP Code
- 14218-3527
- Phone
- (716) 822-3411
Authorized Official
- Name
- MICHAEL PIETRUSIK
- Title
- DPM
- Phone
- (716) 822-3411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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