Doctor Name: | THOMAS M PIEKLO |
NPI Number: | 1104823426 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | N004313-1 |
Business Practice Address: | 36 Genesee St Hornell, NY - 148431614 |
Business Phone Number: | 6073245141 |
Business Fax Number: | 6073245141 |
Mailing Address: | 36 Genesee St, HORNELL |
State: | NY |
Postal Code: | 148431614 |
Phone Number: | 6073245141 |
Fax Number: | 6073245141 |
NPI Enumeration Date: | 07/01/2005 |
NPI Last Update Date: | 08/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | N004313-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |