Individual
MICHAEL THOMAS PISMAROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
350 ALBERTA DR STE 204, AMHERST, NY 14226-1855
(716) 783-8778
Mailing address
350 ALBERTA DR STE 204, AMHERST, NY 14226-1855
(716) 783-8778
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012141
NY
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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