Individual
MICHAEL JOHN PUSATERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
15 ELIZABETH DR, LOCKPORT, NY 14094-5226
(716) 514-9355
(716) 201-1630
Mailing address
6391 ERNA DR, LOCKPORT, NY 14094-6521
(585) 406-5421
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025022
NY
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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