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Michael J Pietrusik Dpm
Durable Medical Equipment & Medical Supplies in Lackawanna, New York
NPI 1194901611

Michael J Pietrusik Dpm is a Durable Medical Equipment & Medical Supplies based in Lackawanna, NY. Michael J Pietrusik Dpm practices in Lackawanna, NY. The NPI Number for Michael J Pietrusik Dpm is 1194901611 and holds a License No. N0036341 (New York).

The current practice location address for Michael J Pietrusik Dpm is 3277 S Park Ave, Lackawanna, NY and can be reached out via phone at 716-822-3411.

Location: 3277 S Park Ave, Lackawanna, NY, 14218-3527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194901611
Provider Name
Michael J Pietrusik Dpm
Credential
Provider Entity Type
Organization
Address
3277 S Park Ave, Lackawanna, NY, 14218-3527
Phone Number
716-822-3411
Fax Number
Provider Enumeration Date
01/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00845978 05 NY
institution
Provider Business Practice Location Address Details
Address
3277 S Park Ave
City
Lackawanna
State
New York
Zip
14218-3527
Phone Number
716-822-3411
Fax Number
person
Provider Business Mailing Address Details
Address
3277 S Park Ave
City
Lackawanna
State
New York
Zip
14218-3527
Phone Number
716-822-3411
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
N0036341 (New York)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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