Individual
MAHMUD MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 862-3108
(716) 862-7329
Mailing address
209 WOODBRIDGE AVE, BUFFALO, NY 14214-1625
(716) 833-8475
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
111857
NY
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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