National Provider Identifier

Peter Michael Stasko, DPM

Peter Michael Stasko, DPM is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist in Geneva, NY and a listed phone number of (315) 789-5061.

NPI 1245539923Geneva, NYFoot & Ankle Surgery Podiatrist

Profile Overview

NPI
1245539923
Provider Type
Individual
Primary Specialty
Foot & Ankle Surgery Podiatrist
Enumeration Date
March 21, 2011
Last Updated
June 18, 2015

Practice Location

  • 875 Pre Emption RD
  • Geneva, NY 14456-2042

Phone: (315) 789-5061

Mailing Address

  • 1792 Opal Dr
  • Farmington, NY 14425-9710

Specialties

  • Foot & Ankle Surgery Podiatrist (213ES0103X)
  • Foot & Ankle Surgery Podiatrist (213ES0103X)
Full Record
NPI
1245539923
Entity Type
Individual
Last Name
Stasko
First Name
Peter
Middle Name
Michael
Name Prefix
Dr.
Credential
DPM
Mailing Street Address
1792 Opal Dr
Mailing City
Farmington
Mailing State
NY
Mailing ZIP Code
14425-9710
Mailing Country
US
Mailing Phone
(585) 356-4116
Practice Street Address
875 Pre Emption RD
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-2042
Practice Country
US
Practice Phone
(315) 789-5061
Enumeration Date
March 21, 2011
Last Updated
June 18, 2015
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Foot & Ankle Surgery Podiatrist (213ES0103X), Foot & Ankle Surgery Podiatrist (213ES0103X)