Individual
DR. ANTHONY MIRABELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
295 ESSJAY RD, WILLIAMSVILLE, NY 14221-8216
(716) 630-1112
(716) 631-0584
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
295890
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2014
Last updated
12/06/2021
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