Provider Demographics
NPI:1326045469
Name:CURRY, MICHAEL JOHN (DPM)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOHN
Last Name:CURRY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 RESERVE RD
Mailing Address - Street 2:APT 8
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-4342
Mailing Address - Country:US
Mailing Address - Phone:716-675-1741
Mailing Address - Fax:716-675-1741
Practice Address - Street 1:94 OLEAN ST
Practice Address - Street 2:SUITE 214
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-2531
Practice Address - Country:US
Practice Address - Phone:716-652-6160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002844213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00528372Medicaid
NY077103Medicare ID - Type UnspecifiedPODIATRIST
NY00528372Medicaid