National Provider Identifier

Thomas D Polisoto, MD

Thomas D Polisoto, MD is listed in the NPPES registry with a primary specialty of Spinal Cord Injury Medicine Physician in West Seneca, NY and a listed phone number of (716) 558-5153.

NPI 1891769436West Seneca, NYSpinal Cord Injury Medicine Physician

Profile Overview

NPI
1891769436
Provider Type
Individual
Primary Specialty
Spinal Cord Injury Medicine Physician
Enumeration Date
February 13, 2006
Last Updated
January 31, 2012

Practice Location

  • 550 Orchard Park RD
  • Building C
  • West Seneca, NY 14224-2646

Phone: (716) 558-5153

Mailing Address

  • 338 Harris Hill RD
  • Suite 207
  • Buffalo, NY 14221-7470

Specialties

  • Spinal Cord Injury Medicine Physician (2081P0004X)
Full Record
NPI
1891769436
Entity Type
Individual
Last Name
Polisoto
First Name
Thomas
Middle Name
D
Credential
MD
Mailing Street Address
338 Harris Hill RD
Mailing Address Line 2
Suite 207
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14221-7470
Mailing Country
US
Mailing Phone
(716) 634-4798
Mailing Fax
(716) 634-0987
Practice Street Address
550 Orchard Park RD
Practice Address Line 2
Building C
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-2646
Practice Country
US
Practice Phone
(716) 558-5153
Enumeration Date
February 13, 2006
Last Updated
January 31, 2012
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Spinal Cord Injury Medicine Physician (2081P0004X)
Other Identifiers
01074657 (NY)