| Doctor Name: | DR. LEO MICHAEL MICHALEK |
| NPI Number: | 1003801366 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 094920 |
| Business Practice Address: | 561 Ridge Rd Lackawanna, NY - 142181319 |
| Business Phone Number: | 7168230141 |
| Business Fax Number: | 7168225468 |
| Mailing Address: | 550 Center Rd, WEST SENECA |
| State: | NY |
| Postal Code: | 14224 |
| Phone Number: | 7166770100 |
| Fax Number: | 7166770200 |
| NPI Enumeration Date: | 09/13/2005 |
| NPI Last Update Date: | 05/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 094920 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |