National Provider Identifier

Miranda Nicholson

Miranda Nicholson is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 833-3622.

NPI 1033862008Buffalo, NYCounselor

Profile Overview

NPI
1033862008
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
January 31, 2022
Last Updated
February 03, 2022

Practice Location

  • 3020 Bailey Ave
  • Buffalo, NY 14215-2814

Phone: (716) 833-3622

Mailing Address

  • 55 Dodge RD
  • Getzville, NY 14068-1205

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1033862008
Entity Type
Individual
Last Name
Nicholson
First Name
Miranda
Mailing Street Address
55 Dodge RD
Mailing City
Getzville
Mailing State
NY
Mailing ZIP Code
14068-1205
Mailing Country
US
Mailing Phone
(716) 831-2700
Practice Street Address
3020 Bailey Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-2814
Practice Country
US
Practice Phone
(716) 833-3622
Enumeration Date
January 31, 2022
Last Updated
February 03, 2022
Sex
Female
Sole Proprietor
No
Certification Date
February 03, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)