Individual
CHRISTOPHER MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1585 HERTEL AVE, BUFFALO, NY 14216-2997
(716) 815-4415
Mailing address
1585 HERTEL AVE, BUFFALO, NY 14216-2997
(716) 815-4415
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
049010
NY
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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