Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 295131 | NY |
Y | 111NI0900X | Internist | 295131 | NY |
NPI | 1003293291 |
---|---|
Provider Name | Michael Guilding Pita |
First Address | Jamestown, NY 14701-6626 |
Second Address | Dunkirk, NY 14048 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2015 |
Last Update Date | 17/06/2021 |