Individual
BRANDY MIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 SOUTH LN, GRAND ISLAND, NY 14072-1392
(716) 909-9788
Mailing address
333 SOUTH LN, GRAND ISLAND, NY 14072-1392
(716) 909-9788
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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