Individual
MIRANDA FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3925 SHERIDAN DR, AMHERST, NY 14226-1738
(716) 250-9999
Mailing address
11 BEACON PARK APT A, AMHERST, NY 14228-2576
(716) 560-7994
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004705
NY
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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