Provider Demographics
NPI:1699723353
Name:PUSATIER, MICHAEL F (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:F
Last Name:PUSATIER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:425 ESSJAY RD STE 170
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-8235
Mailing Address - Country:US
Mailing Address - Phone:716-630-1219
Mailing Address - Fax:716-817-1726
Practice Address - Street 1:325 ESSJAY RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-8243
Practice Address - Country:US
Practice Address - Phone:716-630-1131
Practice Address - Fax:716-877-3812
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY219447-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0111215OtherIHA
NY080172114OtherRR MEDICARE
NY00025590001OtherUNIVERA
NY000526442001OtherHEALTH NOW
NY161000580OtherNORTH AMERICAN PREFERRED
NY161000580OtherUNITED HEALTHCARE
NY161000580OtherCIGNA
NY161000580OtherEMPIRE
NY02149911Medicaid
NY040426002498OtherFIDELIS
NY161000580OtherNOVA
NY219447-0WOtherWORKERS COMPENSATION
NY219447-0WOtherWORKERS COMPENSATION
NY040426002498OtherFIDELIS