Provider Demographics
NPI:1083188379
Name:MIOSI, AMBER MARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:MARIE
Last Name:MIOSI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4498 MAIN ST STE 16
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-3826
Mailing Address - Country:US
Mailing Address - Phone:716-253-1503
Mailing Address - Fax:716-218-4347
Practice Address - Street 1:4498 MAIN ST STE 16
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-3826
Practice Address - Country:US
Practice Address - Phone:716-253-1503
Practice Address - Fax:716-218-4347
Is Sole Proprietor?:No
Enumeration Date:2019-01-20
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023081103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist