Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael J Pietrusik, DPM

Individual provider Podiatrist · NPI 1356368864

Michael J Pietrusik, DPM is a Podiatry in Lackawanna, New York. Graduated from Kent State University College of Podiatric Medicine in 1983, 43 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
43
Trained at
Kent State University College of Podiatric Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

3277 S Park Ave
Lackawanna, NY 14218-3527
Phone: (716) 822-3411
Fax: (716) 822-0215
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence NOO36341 (NY)

Record details

NPI number1356368864
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJuly 17, 2006
Last updated in NPPESOctober 14, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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