Individual
DR. PETER MICHAEL STASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
875 PRE EMPTION RD, GENEVA, NY 14456-2042
(315) 789-5061
Mailing address
1792 OPAL DR, FARMINGTON, NY 14425-9710
(585) 356-4116
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006538
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006143
PA
Other
Enumeration date
03/21/2011
Last updated
06/18/2015
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