MICHAEL D LACIVITA

WILLIAMSVILLE, NY
NPI1285651018
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0131X 
(Licence: NY  002240)
Additional Taxonomies213E00000X Podiatrist
(Licence: NY  N0060261)
Enumeration Date2006-07-17
Last Update Date2019-07-25
Business Address
MICHAEL D LACIVITA DPM
6325 MAIN ST SUITE 200
WILLIAMSVILLE, NY 14221-5822
Phone number: 716-630-1295
Mailing Address
MICHAEL D LACIVITA DPM
425 ESSJAY RD STE 170
WILLIAMSVILLE, NY 14221-8235
Phone number: 716-630-1219
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