Healthcare Provider Details

I. General information

NPI: 1801892286
Provider Name (Legal Business Name): MICHAEL P. PIZZUTO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

OISHEI CHILDRENS OUT PATIENT CENTER 1001 MAIN ST. 3RD FLOOR
BUFFALO NY
14203
US

IV. Provider business mailing address

OISHEI CHILDRENS OUT PATIENT CENTER 1001 MAIN ST. 3RD FLOOR
BUFFALO NY
14203
US

V. Phone/Fax

Practice location:
  • Phone: 716-323-6030
  • Fax: 716-323-6671
Mailing address:
  • Phone: 716-323-6030
  • Fax: 716-323-6671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number168257
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: