Basic Information
| Provider Information | |||||||||
| NPI: | 1003293291 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GUILDING PITA | ||||||||
| FirstName: | MICHAEL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15 S MAIN ST | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | JAMESTOWN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 147016626 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | CHAUTAUQUA MEDICAL SERVICES | ||||||||
| Address2: | 504 CENTRAL AVE | ||||||||
| City: | DUNKIRK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 14048 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7163669008 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/27/2015 | ||||||||
| LastUpdateDate: | 06/17/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 295131 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.