Most Relevant Information
Provider Data
| NPI Number: | 1003801366 |
| Provider Name: | LEO MICHAEL MICHALEK MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208D00000X |
| Specialty: | General Practice |
| License Number: | 094920 |
Most Important Dates
| Enumeration Date: | 09/13/2005 |
| Last Updated: | 05/05/2010 |
Provider Practice Location
561 RIDGE RD
LACKAWANNA
NY
142181319
Practice Location Phone/Fax
| Phone: | 7168230141 |
| Fax: | 7168225468 |
Provider Mailing Location
550 CENTER RD
WEST SENECA
NY
14224
Provider Mailing Phone/Fax
| Phone: | 7166770100 |
| Fax: | 7166770200 |