Michael J Pietrusik
DPM | Podiatrist | 42+ years Exp
3277 South Park Avenue, Lackawanna
New York, 14218-3527
716-822-3411 716-822-0215
Maps & DirectionsMichael J Pietrusik is a Lackawanna, New York based podiatrist with 42 years of experience in Podiatry. He completed his graduation from Kent State University College Of Podiatric Medicine in 1983. He is also affiliated with hospitals like Brooks-tlc Hospital System, Inc. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Michael J Pietrusik for Podiatry is NOO36341 in New York.
Michael J Pietrusik is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Michael J Pietrusik speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | DPM |
| Experience: | 42+ years |
| Medical School Attended: | Kent State University College Of Podiatric Medicine |
| Graduation Year: | 1983 |
| Gender: | Male |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 3277 South Park Avenue, Lackawanna,
New York, 14218-3527 |
| Phone: | 716-822-3411 |
| Fax: | 716-822-0215 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1850395682 |
| Enrollment ID: | I20060908000172 |
| NPI Number: | 1356368864 |
| NPI Enumeration Date: | 17 Jul, 2006 |
| NPI Last Update On: | 14 Oct, 2011 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael J Pietrusik are as mentioned below.
| License Number | Specialization | State | Status | |
| NOO36341 | Podiatry | New York | Primary | |
Hospital Affiliation:
Doctors are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Brooks-tlc Hospital System, Inc (330229) | Dunkirk, NY | Acute Care Hospital |
Other Medical Identifiers:
Other legacy medical identifiers associated with Michael J Pietrusik such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00845978 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3277 South Park Avenue,
Lackawanna, New York |
| Zip: | 14218-3527 |
| Phone Number: | 716-822-3411 |
| Fax Number: | 716-822-0215 |
Patients can reach Michael J Pietrusik at
3277 South Park Avenue, Lackawanna, New York or can
call to book an appointment on 716-822-3411.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.