Lacivita, Michael D

Lacivita, Michael D is an individual health care provider with primary practice located at 6325 Main St Suite 200, Williamsville NY 14221-5822. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Lacivita, Michael D can be contacted via phone (716) 630-1295.

Contact Information

Primary practice address
6325 Main St Suite 200 Williamsville NY 14221-5822
Phone: (716) 630-1295
Fax: (716) 250-5999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N0060261 New York
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 002240 New York

Profile Details

NPI number 1285651018
LBN Legal business name Lacivita, Michael D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285651018 NPPES
New York MEDICAID 02676171

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