Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 168257 | NY |
NPI | 1801892286 |
---|---|
Provider Name | Dr. Michael P Pizzuto |
First Address | Williamsville, NY 14221 |
Second Address | Williamsville, NY 14221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 01/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01247209 | (05) | NY |
E94223 | (02) | NY |