Provider Demographics
NPI:1962543538
Name:STROSKY, MICHAEL PETER JR (PT)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:PETER
Last Name:STROSKY
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:70 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-1814
Mailing Address - Country:US
Mailing Address - Phone:716-572-1325
Mailing Address - Fax:
Practice Address - Street 1:960 MAPLE RD
Practice Address - Street 2:
Practice Address - City:ELMA
Practice Address - State:NY
Practice Address - Zip Code:14059-9530
Practice Address - Country:US
Practice Address - Phone:716-805-1555
Practice Address - Fax:716-805-1440
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY021799-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist