National Provider Identifier

Anthony Mirabella, D.O.

Anthony Mirabella, D.O. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Williamsville, NY and a listed phone number of (716) 630-1112.

NPI 1073925673Williamsville, NYDiagnostic Radiology Physician

Profile Overview

NPI
1073925673
Provider Type
Individual
Primary Specialty
Diagnostic Radiology Physician
Enumeration Date
May 30, 2014
Last Updated
December 06, 2021

Practice Location

  • 295 Essjay RD
  • Williamsville, NY 14221-8216

Phone: (716) 630-1112

Mailing Address

  • 425 Essjay RD Ste 170
  • Williamsville, NY 14221-8235

Specialties

  • Diagnostic Radiology Physician (2085R0202X)
  • Student in an Organized Health Care Education/Training Program (390200000X)

Endpoints

  • production@direct.buffalomedicalgroup.com

    Direct Messaging Address | Orchard Park, NY 14127

Full Record
NPI
1073925673
Entity Type
Individual
Last Name
Mirabella
First Name
Anthony
Name Prefix
Dr.
Credential
D.O.
Mailing Street Address
425 Essjay RD Ste 170
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-8235
Mailing Country
US
Mailing Phone
(716) 630-1219
Practice Street Address
295 Essjay RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-8216
Practice Country
US
Practice Phone
(716) 630-1112
Practice Fax
(716) 631-0584
Enumeration Date
May 30, 2014
Last Updated
December 06, 2021
Sex
Male
Sole Proprietor
No
Certification Date
December 06, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Diagnostic Radiology Physician (2085R0202X), Student in an Organized Health Care Education/Training Program (390200000X)