National Provider Identifier

Leo Michael Michalek Jr., MD

Leo Michael Michalek Jr., MD is listed in the NPPES registry with a primary specialty of General Practice Physician in Hamburg, NY and a listed phone number of (716) 649-5180.

NPI 1003801366Hamburg, NYGeneral Practice Physician

Profile Overview

NPI
1003801366
Provider Type
Individual
Primary Specialty
General Practice Physician
Enumeration Date
September 13, 2005
Last Updated
January 02, 2025

Practice Location

  • 6946 E Eden RD
  • Hamburg, NY 14075-6408

Phone: (716) 649-5180

Specialties

  • General Practice Physician (208D00000X)
Full Record
NPI
1003801366
Entity Type
Individual
Last Name
Michalek
First Name
Leo
Middle Name
Michael
Name Prefix
Dr.
Name Suffix
Jr.
Credential
MD
Mailing Street Address
6946 E Eden RD
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-6408
Mailing Country
US
Mailing Phone
(716) 649-5180
Practice Street Address
6946 E Eden RD
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-6408
Practice Country
US
Practice Phone
(716) 649-5180
Enumeration Date
September 13, 2005
Last Updated
January 02, 2025
Sex
Male
Sole Proprietor
Yes
Certification Date
January 02, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Physician (208D00000X)
Other Identifiers
00601643 (NY), 000505334001 (BCBS), 1700291 (Iha), 00010118401 (Univera)