National Provider Identifier
Michael D Lacivita, DPM
Michael D Lacivita, DPM is listed in the NPPES registry with a primary specialty of Foot Surgery Podiatrist in Williamsville, NY and a listed phone number of (716) 630-1295.
Profile Overview
- NPI
- 1285651018
- Provider Type
- Individual
- Primary Specialty
- Foot Surgery Podiatrist
- Enumeration Date
- July 17, 2006
- Last Updated
- July 25, 2019
Practice Location
- 6325 Main St
- Suite 200
- Williamsville, NY 14221-5822
Phone: (716) 630-1295
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-8235
Specialties
- Foot Surgery Podiatrist (213ES0131X)
- Podiatrist (213E00000X)
Full Record
- NPI
- 1285651018
- Entity Type
- Individual
- Last Name
- Lacivita
- First Name
- Michael
- Middle Name
- D
- Credential
- DPM
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8235
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Mailing Fax
- (716) 817-1726
- Practice Street Address
- 6325 Main St
- Practice Address Line 2
- Suite 200
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5822
- Practice Country
- US
- Practice Phone
- (716) 630-1295
- Practice Fax
- (716) 250-5999
- Enumeration Date
- July 17, 2006
- Last Updated
- July 25, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Foot Surgery Podiatrist (213ES0131X), Podiatrist (213E00000X)
- Other Identifiers
- 02676171 (NY)