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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL D LACIVITA, DPM

Active

MICHAEL D LACIVITA, DPM is a Foot Surgery Podiatrist healthcare provider located in WILLIAMSVILLE, New York. NPI 1285651018 is currently active in the NPPES registry. Verify at CMS.

Foot Surgery Podiatrist · WILLIAMSVILLE, NY

Registration Details

NPI Number
1285651018
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2006 (20.121430391728 yrs)
Last Updated
Jul 25, 2019
Licenses
N0060261 (NY)
002240 (NY)

Practice Information

Address
6325 MAIN ST
SUITE 200
WILLIAMSVILLE, NY, 142215822
Browse NY providers · Browse ZIP 14221
Phone
7166301295
Fax
7162505999
Primary Specialty
Foot Surgery Podiatrist
213ES0131X
Additional Specialty
Foot Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.