Provider Demographics
NPI:1801892286
Name:PIZZUTO, MICHAEL P (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:P
Last Name:PIZZUTO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8207 MAIN STREET
Mailing Address - Street 2:SUITE 5
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221
Mailing Address - Country:US
Mailing Address - Phone:716-632-2000
Mailing Address - Fax:716-632-2162
Practice Address - Street 1:8207 MAIN STREET
Practice Address - Street 2:SUITE 5
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-632-2000
Practice Address - Fax:716-632-2162
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2010-06-01
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Provider Licenses
StateLicense IDTaxonomies
NY168257207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01247209Medicaid
NY01247209Medicaid
NYE94223Medicare UPIN