Organization
CHILDREN'S E.N.T., P.C.
Active
Other names
MICHAEL P. PIZZUTO, MD, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAUL PIZZUTO MD (OWNER)
(716) 632-2000
Entity
Organization
Contact information
Practice address
8207 MAIN STREET STE 5, WILLIAMSVILLE, NY 14221
(716) 362-9730
(716) 213-0348
Mailing address
908 NIAGARA FALLS BLVD, STE 208, N TONAWANDA, NY 14120-2019
(716) 692-2160
(716) 332-3658
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
168257
NY
207YP0228X
Pediatric Otolaryngology Physician
168257
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010139101
UNIVERA
NY
01
—
000511120011
BLUE CROSS
NY
05
—
01247209
—
NY
01
—
1003690
IHA
NY
Enumeration date
08/28/2007
Last updated
08/25/2009
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