MEDICARE: DR. DAVID JAMES PIZZI D.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	X011554	NY

General Provider Information

NPI Number	:	1780757179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID JAMES PIZZI D.C

Provider Business Mailing Address
First Line	:	4885 W EDDY DR APT 225
Second Line	:
City	:	LEWISTON
State	:	NY
Zip	:	14092-2314
Country	:	US
Telephone Number	:	716-799-9450
Fax Number	:

Provider Business Practice Location Address
First Line	:	1923 SENECA ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14210-1852
Country	:	US
Telephone Number	:	716-822-2225
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	09/24/2009

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