Provider Demographics
NPI:1942070354
Name:MIR, AMRIT (DR)
Entity Type:Individual
Prefix:
First Name:AMRIT
Middle Name:
Last Name:MIR
Suffix:
Gender:F
Credentials:DR
Other - Prefix:DR
Other - First Name:AMRIT
Other - Middle Name:
Other - Last Name:MIR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BDS, MS
Mailing Address - Street 1:8877 GREINER RD
Mailing Address - Street 2:
Mailing Address - City:CLARENCE
Mailing Address - State:NY
Mailing Address - Zip Code:14031-1102
Mailing Address - Country:US
Mailing Address - Phone:518-488-7487
Mailing Address - Fax:
Practice Address - Street 1:3435 MAIN ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-3099
Practice Address - Country:US
Practice Address - Phone:716-829-3332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist