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Individual

MICHAEL J OSTOLSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
702 DAVISON RD, LOCKPORT, NY 14094-5371
(716) 514-9355
Mailing address
702 DAVISON RD, LOCKPORT, NY 14094-5371
(716) 514-9355

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F331677
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00026927603
UNIVERA
NY
01
000560289009
BCBS OF WNY
NY
01
051212000052
FIDELIS
NY
01
9512989
INDEPENDENT HEALTH
NY
Enumeration date
04/17/2006
Last updated
03/17/2018
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