National Provider Identifier
Michael Alan Pealo, LPN
Michael Alan Pealo, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Marion, NY and a listed phone number of (585) 880-2182.
Profile Overview
- NPI
- 1083855365
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 16, 2009
- Last Updated
- March 16, 2009
Practice Location
- 4519 Williamson RD
- Marion, NY 14505-9302
Phone: (585) 880-2182
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1083855365
- Entity Type
- Individual
- Last Name
- Pealo
- First Name
- Michael
- Middle Name
- Alan
- Name Prefix
- Mr.
- Credential
- LPN
- Mailing Street Address
- 4519 Williamson RD
- Mailing City
- Marion
- Mailing State
- NY
- Mailing ZIP Code
- 14505-9302
- Mailing Country
- US
- Mailing Phone
- (585) 880-2182
- Practice Street Address
- 4519 Williamson RD
- Practice City
- Marion
- Practice State
- NY
- Practice ZIP Code
- 14505-9302
- Practice Country
- US
- Practice Phone
- (585) 880-2182
- Enumeration Date
- March 16, 2009
- Last Updated
- March 16, 2009
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)