Mia Pivirotto, D.O.
Student in an Organized Health Care Education/Training Program in Buffalo, NY. Individual provider (NPI-1).
NPI number1770017972
StatusActive
Last updated in NPPESApr 13, 2017
Details
- NPI
- 1770017972
- Entity type
- Individual (NPI-1)
- Name
- Mia Pivirotto
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2017
- Last updated
- Apr 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
219 Bryant StBuffalo, NY 14222-2006
Phone 716-878-7432
Mailing address
219 Bryant StBuffalo, NY 14222-2006
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