Polisoto, Thomas D

Polisoto, Thomas D is an sole proprietor health care provider with primary practice located at 550 Orchard Park Rd Building C, West Seneca NY 14224-2646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, which is considered as his primary health care specialty. Polisoto, Thomas D can be contacted via phone (716) 558-5153.

Contact Information

Primary practice address
550 Orchard Park Rd Building C West Seneca NY 14224-2646
Phone: (716) 558-5153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 174476-1 New York

Profile Details

NPI number 1891769436
LBN Legal business name Polisoto, Thomas D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Jan 31st, 2012 - about 12 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 1891769436 NPPES
New York MEDICAID 01074657

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